Hyperthyroidism has multiple etiologies; however, the treatment is rarely surgical. Hyperthyroidism can be caused by thyroid overstimulation, autogenous thyroid hypersecretion, or exogenous thyroid hormone administration. This is a scenario in which the focus is on workup and management strategies, with strong knowledge about when to pull the trigger and operate for a largely medical disease. Thyroid storm is a severe and common complication that gets tested.