Thyroid neoplasms are mostly benign tumors with only a small percentage of tumors being malignant. The standard of care for thyroid tumors is conventional thyroidectomy but due to advancements in technology, minimally invasive techniques have been developed. Radiofrequency ablation can be done to specifically target a solid thyroid nodule while leaving the rest of the normal thyroid tissue intact. This decreases the incidence of complications that can arise from a conventional thyroidectomy. However, due to radiofrequency ablation being a fairly new technique, there are limited literature regarding its complications. This report presents a case of a male patient developing hoarseness intraoperatively while undergoing image guided radiofrequency ablation of a benign thyroid tumor.