Background: This study estimates availability and prevalence of reuse of energy-based devices for thyroid surgery in middle income country settings. Design: A cross-sectional survey Setting: Thai governmental hospitals (as a model of middle-income country) Methods: A questionnaire with questions regarding device availability and the manner of reuse were sent during April 2021 and May 2022 to Thai government hospitals that provide thyroid surgery services Results: The survey response rate was 54.55%. Adoption rate of energy-based devices by Thai governmental hospitals for thyroid surgery was 71%. EBDs availability differences were statistically significant in general hospitals compared to community hospitals and in hospitals with higher number of beds. In hospitals where energy-based devices were available 97% of the hospitals reused the energy-based devices. Inadequate ligation was the most common problem encountered among multiple problems faced with reused devices. Out-of-pocket expense varied in both new and reused devices. Conclusion Energy-based devices were commonly adopted for thyroid surgery in Thailand. Likewise, reuse of the devices was commonly practiced. Safety and reliability issues warrant future studies. Reuse of these advanced equipment is one of the methods to control operational cost therefore economic evaluation may also consider reuse strategy.