Vocal cord nodules, if recurrent, must be treated surgically. The causes of vocal cord nodules are numerous and include improper or excessive use of the voice, shouting loudly, and irritation from acid reflux, leading to bilateral vocal cord lesions. This condition can cause the patient to have persistent hoarseness. If a patient experiences prolonged hoarseness, they must visit a hospital to undergo a laryngoscopic examination to determine the cause. Vocal cord nodules typically occur at the anterior middle third of both vocal cords, where patients may observe a pale white, symmetric, smooth-surfaced abnormal growth. In terms of treatment, surgery is necessary as medication is ineffective. The procedure involves the removal of the vocal cord nodules under a support laryngoscope, requiring hospitalization and general anesthesia. Post-surgery, antibiotics are used to prevent local infections, and patients can usually recover and be discharged within about a week.