I'm glad to have finally found a forum to discussion my vocal cord problem. I had surgery on March 9, 2010 to remove my thyroid, and my life has not been the same since. I have been diagnose with Bilateral Vocal Cord Paralysis, it's difficult to talk, breath, and swallow. My ENT now wants me to consider having additional surgery, either a tracheotomy or arytenoidectomy, neither is a good choice for me. I'm planning to get a second and third opinion. From what I've been researching there is not many alternatives to this condition other than the two I listed. Does anyone know of any other procedures that are less evasive?