Aims – To review the author’s experience in Hemi- and Total thyroidectomy for Retrosternal Goitres, and assess the safety and success of debulking the goitre with a sinus ”shaver” to aid in delivering the thyroid into the neck, without the need for Sternotomy, to then perform a trans-cervical extracapsular thyroidectomy. The surgical technique will be described, with videos. Methodology – the charts of 26 consecutive patients were reviewed. Results – All cases were completed as planned, with no sternotomies required. There were no major or permanent complications. Average hospital stay was 4.3 days for Total Thyroidectomy, 2.6 days for Hemi-Thyroidectomy. Conclusion – The use of the sinus “shaver” to debulk a retrosternal goitre aids in delivering the goitre into the neck, allowing safe trans-cervical hemi- or total- thyroidectomy without the need for sternotomy.