The paper presents own experience in surgical treatment of nodular goitre with mass exceeding 1000 g. In the analysed material of 1180 strumectomies, three such cases were found. Preparation for surgery included administration of Lugol solution, and possibly anxiolytics. The operation of removal of giant nodular goitre caused no significant technical difficulties. The postoperative course was uncomplicated, and cosmetic effect in remote examination was satisfactory.