In the past decade, there has been a rapid development of robotic thyroid surgery in China. The safety, the oncological radical nature, and the cosmetic outcomes of transaxillary approach surgery are continuously validated, and the rate of its implementation is rapidly increasing. Here, we summarize and share insights on tansaxillary robotic-assisted endoscopic thyroid surgery performed in our center, covering aspects such as approach selection, indications and contraindications, instrument improvement, incision selection, space creation, intraoperative skills, and complications. The aim is to offer reference and assistance for the development of this surgical procedure.