For the management of cancer, both complete and careful surveys are important. Because surveys by medical institutes are time-consuming, it is necessary to share the burden among regional institutes while maintaining medical quality. A regional survey system using regional contact paths for five major cancers was started in Japan. Because the number of patients is small, the same system for thyroid cancer is not strongly recommended. On the other hand, regional surveys for thyroid cancer are suitable because the postoperative prognosis is good, and long-range surveys are necessary. From 2014 to 2019, 76 cases operated for papillary thyroid cancer at our institute were applicable to this system using a regional contact path. On the other hand, 304 cases were not applicable to this system. Not so many regional institutes complied with our request because of their experience of management of papillary thyroid cancer. To promote this system, changes in efforts for surgeons, regional doctors, and patients are required.