Tonsillectomy

When tonsils are the source of repeated infections or are big enough to interfere with breathing or sleep, tonsillectomy may be the right next step. It’s one of the most common and well-studied ENT surgeries, and it can help children and adults.

What Is Tonsillectomy?

Tonsillectomy is the surgical removal of the tonsils, two pads of tissue at the back of the throat. It’s performed when tonsils are repeatedly infected, cause breathing or swallowing problems, or contribute to sleep-disordered breathing. Tonsillectomy is most often done in children but is also performed in adults. The procedure can be done with traditional methods or with techniques designed to reduce post-operative discomfort.

Who's a Good Candidate?

Tonsillectomy may be considered if you have:

Several throat infections within a short period of time
Recurring strep throat
Enlarged tonsils that affect breathing, swallowing, or sleep
Sleep-disordered breathing or sleep apnea linked to large tonsils (common in children)
Chronic tonsil stones or persistent bad breath that hasn't responded to other care
A history of peritonsillar abscess

It isn't right for everyone.

Your provider will weigh the frequency and severity of symptoms against the recovery involved.

How Tonsillectomy Works

The procedure is performed in a surgical setting under general anesthesia:

You or your child is asleep for the procedure

The tonsils are removed through the mouth, with no external incisions

The technique may use scalpel, electrocautery, coblation, or other methods

The procedure typically takes around 30 to 45 minutes

Most patients go home the same day

Your provider will explain which technique they recommend and why.

Recovery & Results

Recovery is the most important part of tonsillectomy to plan for. Sore throat, ear pain, bad breath, and trouble eating are typical for about one to two weeks. Pain often improves and then briefly worsens around day five to seven. Staying hydrated and following pain control instructions makes a real difference.

Most children return to school in about a week to ten days, and adults often need about two weeks before returning to work, depending on the type of work. Many patients have fewer throat infections and better sleep afterward, but results vary.

Risks & Safety

Tonsillectomy is a well-established procedure, but as with any surgery, there are risks. Possible risks include:

Pain and dehydration during recovery
Bleeding, especially around the time scabs fall off
Reaction to anesthesia
Temporary changes in voice
Infection
A small chance of needing additional medical care during recovery
Rare more serious complications your provider will discuss

Your ENT provider will walk through the risks and signs to watch for so you know when to call.

Frequently Asked Questions

Find answers to common questions about Tonsillectomy.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

How long is recovery?
Most children need about a week to ten days; adults often need around two weeks. Sore throat, ear pain, and changes in eating are typical and often peak around day five to seven before improving.
Many patients with enlarged tonsils sleep more quietly afterward. If snoring is being driven by other factors, those may still need to be addressed.
Adults tend to have a more prolonged recovery than children, with more soreness and a longer return to normal activity. The procedure itself is similar, but pain control and time off work are bigger considerations.
Call your provider for significant bleeding, inability to drink fluids, signs of dehydration, fever, or anything that doesn't seem right. Your team will give you a clear list of warning signs before discharge.
A virtual visit is a useful starting point to discuss symptoms and history. An in-person exam is needed to confirm the diagnosis and plan the procedure.

Still have questions?

If you need help deciding whether virtual care is right for you, our team is here to assist.

Talk Through Whether Tonsillectomy Fits

If repeated throat infections or breathing concerns are wearing you (or your child) down, an ENT-focused evaluation can help you understand whether tonsillectomy is the right call.