Primary hyperparathyroidism (PHPT) is a common endocrine disorder for which parathyroid surgery is the only curative treatment [
1]. It is most commonly seen after the age of 50 years, with three to four times more women than men. PHPT has evolved in its clinical presentation over the past 40 years and is now usually diagnosed at an asymptomatic stage. Guidelines for surgical decision making in asymptomatic patients have been established [
1]. …