With the continuous advancement of precision medicine, robotic surgical techniques have been rapidly promoted, and robotic thyroidectomy has been increasingly applied in China, demonstrating advantages such as refined manipulation, minimal invasiveness, and improved cosmetic outcomes. Since the initiation of this procedure, our center has completed over 4 000 cases of robotic thyroidectomy, accumulating extensive practical experience and establishing a comprehensive system for surgical coordination and assistant training. An excellent surgical assistant plays a pivotal role in ensuring procedural efficiency and patient safety. Based on our center's experience, this article systematically summarizes key training elements and intraoperative coordination techniques for assistants in robotic thyroidectomy. Key areas include preoperative preparation (such as patient selection, imaging review, and assessment of non-recurrent laryngeal nerve risk) and intraoperative cooperation (including Trocar placement, instrument exchange, gauze management, and hemostasis). This paper aims to provide practical reference for surgical teams engaged in robotic thyroidectomy, promote the standardization of related techniques, enhance team coordination and surgical quality, and ultimately deliver safer and more efficient medical services to patients.