While kidney dialysis technicians are not directly involved in the day-to-day administration of CAPD continuous ambulatory peritoneal dialysis (CAPD), they play an important role in supporting and educating patients, ensuring they have the knowledge and resources needed to manage their treatment effectively.

[citation needed] If a patient has elevated calcium, several different types of tests can be used to locate the abnormal glands.

Ultrasound's shortcomings include: it cannot determine glandular function (normal vs. hyperfunctioning) or visualize unusual locations such as retropharyngeal or mediastinal.

Thin cut computed tomography of the neck can reveal glands in locations that the ultrasound cannot evaluate well; e.g. retropharyngeal, mediastinal.

[citation needed] Another related condition is called secondary hyperparathyroidism (HPT for short), which is common in patients with chronic kidney disease on dialysis.

This condition causes many diseases related with calcium reabsorption, because the principal function of the parathyroid hormone is to regulate it.

Consequences of this are heart rhythm diseases, and extra production of gastrin that causes peptic ulcers.

A biopsy is recommended to be sure that the transplanted tissue is parathyroid and not a lymph node with metastatic disease.

During parathyroid surgery if there is an adenoma the transplantation is not recommended; instead it is cryopreserved for research an if there is a recurrent hypoparathyroidism.

The patient is intubated and placed in a supine position with the chin at fifteen degrees by elevating the shoulders to permit the extension of the neck.

A total parathyroidectomy or auto transplantation to the forearm of the remaining half gland, may also be recommended.

[2][7] Parathyroid auto transplantation is part of the treatment when a patient has hyperparathyroidism and three or four parathyroid glands were already removed, but during the surgery one of the glands (in the case of the removal of three) is relocated at another part of the body to make, the procedure less risky another procedure.

If this is not possible, the most common procedure is to create a small pocket of muscle, tissue at least 2 cm deep by separating the muscular fibers.

Once at the laboratory the tissue sample is placed at a frozen petri dish where it is cut into small pieces (approximately 1–2 mm).