Vocal cord nodules are best left unsung. Vocal cord nodules result from improper use of the voice over a long period, overexertion, shouting loudly, and irritation from acid reflux. This bilateral vocal cord lesion can cause persistent worsening hoarseness in patients. If a patient experiences prolonged hoarseness, an examination with an endoscopic laryngoscope at the hospital can reveal a symmetrical, smooth-surfaced neoplasm located at the anterior middle third of both vocal cords. This leads to incomplete closure of the glottis, thereby causing hoarseness. In terms of treatment, the vocal cord nodules require the surgical removal under a supported laryngoscope. The surgery requires hospitalization under general anesthesia, and antibiotics are used postoperatively to avoid local infections. Recovery and hospital discharge can typically occur about a week later. Additionally, patients need to follow a bland diet, abstain from smoking and alcohol, avoid spicy and irritating foods, and importantly, refrain from singing.