Background and Objectives The purpose of this study was to examine the benefits of ultrasonographyperformed by a surgeon rather than a radiologist. Subjects and Method This retrospective study enrolled 122 cases of ultrasonography performedby a head and neck surgeon and 116 cases of the same examination performed by a radiologistbefore surgery. The time intervals between the first visit and surgery were comparedin both groups. Results The average waiting time for surgery after the first hospital visit was significantlyreduced when a surgeon performed the ultrasound examination. Furthermore, there was nosignificant difference in sampling inadequacy rate on thyroid fine needle aspiration (FNA) betweenFNA performed by a head and neck surgeon and a radiologist. Conclusion Surgeons can utilize ultrasound as a diagnostic and therapeutic tool in an officebasedsetting. For patients, diagnosis and treatment provided by a single doctor will lead tomore efficient outcomes.