Anti-thyroid drugs, surgery and radioiodine all represent effective fo
rms of treatment for Graves' hyperthyroidism. There is, however, littl
e consensus regarding the treatment of choice for specific cases. This
lack of consensus prompted the development of guidelines for good pra
ctice in the management of hyperthyroidism for the United Kingdom. Thi
s chapter describes the process of development of this United Kingdom
consensus states ment, and associated audit measures, and highlights o
utstanding contentious issues in the management of Graves' hyperthyroi
dism.