The white granules of the tonsils are due to a cheese-like secretion from the crypt of the chronic tonsils, which can consist of bacteria and food residues, etc. It has a foul odor and is hard to the touch. Chronic tonsillitis is caused by repeated inflammation of the tonsils, which has hidden food residues and bacteria in the tonsils. When the body’s resistance decreases, bacteria can attack and cause inflammation of the tonsils, which can produce pharyngeal pain and fever, and may cause local complications, such as peri-tonsillitis, peri-tonsillar abscesses, and systemic complications, such as arthritis and nephritis. Therefore, chronic tonsillitis needs to be treated promptly, and tonsillectomy can be performed to avoid attacks and complications.