For some of the smaller tonsil stones, they may fall off automatically when gargling or brushing, but the possibility is small and there is no clear time for them to fall off, while for the larger tonsil stones, they basically do not fall off on their own. For tonsil stones that do not fall out, it is recommended to go to the hospital for treatment, and it is not recommended to take them out without permission to avoid damaging the tonsils, allowing bacteria to invade and cause tonsillitis.1. Smaller stones: they can be removed directly under the laryngoscope using a scraping spoon or forceps, or aspirated using a negative pressure drainage device.2. Larger stones: they may irritate the pharynx, causing symptoms such as foreign body sensation in the pharynx, itching of the pharynx, and bad breath. If there is inflammation around the stone, local anti-inflammatory treatment is required using a gargle containing chlorhexidine, hydrogen peroxide and other antibacterial ingredients. In the absence of inflammatory infection, surgical treatment is available. Surgery involves cutting open the tonsils and removing the stones with minimal damage to the tonsils; if the stones are difficult to remove or if tonsil stones recur, the tonsils need to be removed. Tonsil stones are often caused by repeated attacks of tonsillitis or food accumulation in the tonsil crypt, which prevents the normal drainage of secretions from the crypt opening, resulting in the accumulation of minerals and tissues in the crypt opening. Avoid eating greasy, spicy and other stimulating foods until the tonsil stones are healed, so as not to stimulate the throat and cause the tonsil blood vessels to dilate, which will cause discomfort and is not conducive to recovery.