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A MGteam Member asked a question πŸ’­
Ontario Canada
November 5, 2025
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MGteam

Is thymus gland surgery (thymectomy) right for everyone with MG?

No, thymectomy isn't recommended for everyone with myasthenia gravis. The decision depends on several factors specific to your situation.

Your healthcare team may recommend thymectomy if you
- Are under 60 years old
- Have moderate to severe muscle weakness Show Full Answer

Is thymus gland surgery (thymectomy) right for everyone with MG?

No, thymectomy isn't recommended for everyone with myasthenia gravis. The decision depends on several factors specific to your situation.

Your healthcare team may recommend thymectomy if you:
- Are under 60 years old
- Have moderate to severe muscle weakness from MG
- Have mild weakness affecting muscles that control breathing or swallowing
- Have a thymoma or other thymic tumor (this is generally recommended regardless of symptom severity)

Thymectomy may not be right for you if you have:
- Mild MG symptoms
- Ocular MG (weakness affecting only eye muscles)
- Certain antibodies related to MG
- MG symptoms that started after age 60

The surgery requires that your disease is stable enough to undergo the procedure. In rare cases, the stress of surgery can trigger a myasthenic crisis.

Your doctor can help you decide if thymectomy is a good option based on your age, overall health, and how severe your MG is. About 70 percent of those who undergo thymectomy see improvement, and 30 percent to 40 percent achieve full remission, though results vary by person.

November 5, 2025
A MGteam Member

Hi Kim
My recovery is going very well. From what I can see. I still spend a lot of time ambulatory by my bed or in a chair. I get tired easily still. But my stitches are healing well. Since the new technology for thoracic surgery was implemented healing is much easier. i.e. They don't have to crack open your chest anymore unless they have to of course. My doctor made that very clear. Only in the case of an emergency. That's why doctors didn't want to operate on patients over 60.
I hope your consultation goes very well 😊

November 7, 2025
A MGteam Member

Thank you Johanna 😊
I have an upcoming appointment in December to discuss the results of my CT Scan & determine whether or not surgery is required. I'm 64, so far my symptoms have been managed with pyridostigmine only. However I have only been diagnosed since July 2025.
How is your recovery? I hope all is good πŸ™

November 7, 2025
A MGteam Member

When my thymoma was first dx'd my doctors said no. I was 51 at the time. Now at 65 I have had my thymoma removed and am on the road to recovery.
Everyone of us is different. Speak with your neuro and be proactive in managing your mg symptoms.
Stay hopeful

November 7, 2025
A MGteam Member

Good to know, I will be 77 in a few days. Hope that means I won't need this surgery.

November 5, 2025

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