Abstract: The normal thyroid gland is a fairly homogenous structure, but nodules often formed within its substance these nodule may be the growth and fusion of localized colloid – filled follicles, or discrete adenomas, or cyst. The terms adenomatous goiter, simple multi nodular goiter, non toxic nodular goiter, and colloid nodular goiter are used interchangeably as descriptive terms when a multi nodular goiter is found. This study reviewed our ten - year experience with management of multi nodular goiter in a developing country