During the holidays, the ENT department is again at the peak of tonsillar adenoid surgery, and every day we meet loving parents who are torn between cutting and not cutting. How to cut? General anesthesia or local anesthesia? In fact, even parents with medical expertise have difficulty in choosing, not to mention non-professionals. Here I talk about thinking and suggestions for reference. I. Give and take What is the function of the tonsils? The tonsils are a border guard force in the body’s defense forces have many lymphocytes and are responsible for fighting against pathogens that invade the body. In adults, the army of guards in the body is very large, and the tonsils are a small front-line stronghold. When the enemy comes in force, the main regiment in the body attacks to meet the enemy, and the tonsils are basically a border guard, while the overall strength of the army of guards in children’s bodies is weak, and the tonsils often have to charge into battle, so they are prone to recurring septicemia, enlargement, and high fever. To cut, or not to cut? For most parents, the main struggle with surgery is that they think the tonsils are useful, and that if they are cut, they will lose their defensive function and get sick easily or will not get well easily! In fact, recurrent tonsils are like a team fighting with the enemy repeatedly, fighting with bacteria, viruses, foreign bodies, and poisons all year round, and double penetrating each other, bloating the body, blocking the throat, not only blocking the enemy, even fresh air is difficult to come in. Cut, or not cut, for frequent attacks (more than four attacks a year), with urine protein or nephritis, heart inflammation, arthritis, etc. Second, the choice of surgical methods China’s tonsil surgery has about 2000 years, there are hot branding, set of cutting and other methods, the current surgical methods continue to improve, technology hand break constantly applied, the damage is getting smaller and smaller. Approximately divided into cold knife and hot knife, cold knife that is the cold weapon, the traditional surgical method is roughly this range, hot knife is through the laser, ultrasonic knife, plasma, electric knife and other ways to work, local high temperature to separate the tissue, hemostasis, basically bloodless. The advantages and disadvantages of each of cold and thermal cutting. The advantages of cold cutting are inexpensive, while the advantages of thermal cutting are less bleeding during and after surgery, and thermal cutting can stop bleeding by cutting while allowing the wound to coagulate through high temperatures. As a parent it is your responsibility to understand what you are not familiar with and it is the doctor’s duty to be honest about the pros and cons. I personally recommend using a plasma knife, and it would be nice if the cost of the scalpel dropped in the future. Third, general anesthesia and local anesthesia local anesthesia surgery preparation time is short, the cost is low, but the intraoperative surgeon is difficult to control, the trauma of the child’s mind, I once operated on a colleague’s child said, once she saw me, she remembered the tonsils, in fact, she was remembering the horror of the process, I am not a psychiatrist, it is difficult to predict the impact on the child, anyway, my psyche is not a taste. General anesthesia is relatively safe, the degree of psychological impact on the child is small, the doctor’s surgical operation is precise, but the use of expensive equipment, high labor costs, an operation requires a total of 6 – 7 medical staff to serve the child, the cost is high. It is recommended to choose general anesthesia for safety and for psychological reasons! The adenoids are the same immune organ as the tonsils, located at the junction and bend of the nose and throat, and the operation is basically the same as the tonsils, which can be operated at the same time or separately. Consult your doctor, I believe he will give reasonable advice! Five, special note: adenoid hypertrophy can cause hearing loss in children, when found baby hard of hearing, go to the specialist!