This review will summarize the various complications of RFA for thyroid nodules as well as preventative and management strategies that can be used when faced with these adverse events. Although widely perceived to be less invasive and a potentially safer option than surgery, a broad spectrum of complications have been reported in recent years, including nerve damage, nodule rupture, permanent hypothyroidism, and needle tracking seeding. Complications occur at a rate ranging from 0.0–16.7%. Understanding the complications that arise during treatment is essential in conducting safe and effective ablation therapy. Radiofrequency ablation (RFA) has become an increasingly popular alternative to surgery for thyroid nodules. RFA has been consistently shown to be safe and effective for treatment. While complications can occur, they are seldom life-threatening. Understanding the minor and major complications that arise during treatment is essential in conducting safe and effective ablation therapy.