If adenoid hypertrophy is present in a patient with an indication for tonsillectomy it needs to be removed together. If there is not an indication for both tonsils and adenoids, they do not need to be removed together. Determining whether adenoids and tonsils need to be removed together depends on the actual situation and cannot be generalized. Usually, if adenoid hypertrophy is found during tonsillectomy in patients with tonsillar keratosis and recurrent acute tonsillitis, both tonsils and adenoids need to be removed. However, if the patient simply has an indication for tonsils or an indication for adenoidectomy only, the adenoids and tonsils do not need to be removed together. Generally the adenoids and tonsils are located in close proximity to each other, so the two are more likely to be involved with each other. All in all, patients need to go to the hospital, complete a series of relevant examinations, and the doctor will formulate an appropriate surgical plan according to the actual situation, and after the operation, they need to follow up on time and strengthen the management of daily life.