Pharyngeal large generally refers to tonsil hypertrophy, this is mainly divided into the following cases, the first case is the physiological hypertrophy of the tonsils, this is mainly seen in children, the patient does not have obvious pharyngeal discomfort. Clinical examination of the tonsils was light red, smooth surface, no pus plugs and other attachments, this is generally physiological hypertrophy, clinical need not do special treatment, waiting for the patient after adulthood, the tonsils may gradually become smaller. The second situation is the pathological hypertrophy of the tonsils, this may be due to inflammation, such as repeated inflammation of the tonsils, pus, resulting in tonsil parenchyma hyperplasia, hypertrophy, this situation should be anti-inflammatory treatment, waiting for the inflammation to be relieved after the tonsils may have a certain degree of shrinkage. The third situation is unilateral painless enlargement of the tonsils, this situation occurs in adults, middle-aged and elderly people, we should be highly alert to the possibility of tonsil lymphoma, it is recommended to do a local biopsy to take pathology to clarify the nature.