Enlarged tonsils in children usually do not require surgery, but if the child has difficulty breathing or swallowing due to enlarged tonsils, or if the neighboring organs have recurrent lesions, then surgical treatment is required. There are many reasons for children’s enlarged tonsils, if it is caused by upper respiratory tract infections and other diseases, it is a normal situation, usually after the inflammation subsides, the enlarged tonsils will become smaller, this situation does not require surgery. However, if the child’s tonsils are repeatedly or consistently enlarged, causing the upper respiratory tract to be unobstructed, or if breathing difficulties or swallowing difficulties occur, surgical treatment can be taken, and the common surgery is tonsillectomy. Secondly, for children with chronic tonsillitis, tonsillectomy can also be considered if it repeatedly causes diseases in neighboring organs, such as acute rhinitis, pharyngitis and other diseases. Parents are advised to take their children to a local hospital for an examination to determine if tonsillectomy is appropriate for their condition.