When patients present with third-degree tonsillar hypertrophy, not all of them need to be removed, and the decision needs to be based on specific symptomatic manifestations. If a patient has acute attacks of recurrent tonsillar inflammation along with tonsillar hypertrophy, further surgical treatment measures are required to avoid systemic complications such as nephritis and myocarditis. If the patient has tonsillar hypertrophy causing serious throat blockage, foreign body sensation and other uncomfortable symptoms, or if it has a significant impact on respiratory ventilation, with more serious snoring and continuous open-mouth breathing during sleep, it will have a serious impact on the quality of sleep and is not conducive to the overall health condition, and further surgical treatment measures are required as appropriate.