Small white spots on the tonsils are usually tonsil stones, tonsil keratinized material, tonsil pus plugs and so on. 1. Tonsil stones: tonsil secretion increase due to various reasons, tonsil crypts are blocked, secretion drainage is not smooth, resulting in crypts deep decayed food debris, shed epithelium, colonies and other foreign objects can not be discharged in a timely manner, wrapped in secretions. The deposits accumulate for a long time, calcify and harden, forming tiny, white hard particles. 2. Tonsil keratinized material: mainly due to abnormal proliferation of tonsil lymphatic tissue, keratinization, may be related to local fungal infection, repeated friction, inflammatory stimulation. 3. Tonsil pus embolus: pus embolus will be formed after tonsil suppuration, which can form the performance of white spots, the patient’s bilateral tonsils are more frequent, and there will be obvious fever, pain, and limited mouth opening. If you find that there are suspected small white spots on the tonsils, it is recommended to go to the hospital in time to confirm the diagnosis and carry out the appropriate treatment.