This case involves a fifty-four-year-old female who experienced cold intolerance, weight gain, depression, constipation, dry skin, brittle hair, and decreased heart rate. Her thyroid gland was found to be enlarged on physical examination. Laboratory blood work revealed that her thyroid hormone levels were low and thyroid antibodies were elevated. Biopsy of the thyroid gland diagnosed the patient with Hashimoto’s thyroiditis, an autoimmune hypothyroid condition. It was also found that her thyroiditis contained extensive inflammation requiring a thyroidectomy. After surgery, the woman experienced difficulties speaking and had hoarseness in her voice. Examination of the vocal cords with fiberoptic laryngoscopy indicated that her left vocal cord was paralyzed. The patient established care with a different physician who commented that she most likely sustained nerve injury as a result of the thyroidectomy. Surgical exploration showed that her left recurrent laryngeal nerve was cut. She required surgical repair of the injury six months later. She regained a normal voice but developed difficulties eating which never resolved.