This is the most important concern for parents. Generally I decide based on the child’s symptoms, the duration of the disease, the results of the radiograph or nasal endoscopy, and whether there are other complications. There are generally 3 types of nasal endoscopy or radiographs, mild, moderate and severe. Mild is generally not recommended for surgery, severe is generally recommended for early surgery, and moderate is determined by the child’s symptoms and the duration and age of the disease. If the child sleeps poorly at night, has breath-holding, and has been doing so for a long time, or has been doing so repeatedly, and the nasal endoscopy or radiographs suggest that adenoid hypertrophy is obvious, it is recommended to operate as soon as possible; however, if the child only has such a condition after the recent cold, which has not happened before, or only has snoring without obvious breath-holding, it is recommended to observe first, and it is not recommended to operate immediately, and some parents of children say that the symptoms at night are Some parents say that the symptoms are obvious at night, but the test results show that the obstruction is not very heavy, so it is recommended to do a sleep monitoring before determining whether surgery is needed. If the child’s symptoms are not very obvious but are accompanied by rhinosinusitis, and there is no significant improvement after a period of medication, surgery is also recommended; if the child’s symptoms are not particularly severe, but he or she is particularly prone to colds, and the symptoms are severe after each cold, surgery is also recommended. If a child has frequent episodes of otitis media and is not well treated with medication and also has hearing loss, although adenoid hypertrophy is not very serious, surgery is also recommended as soon as possible.