Adenoid hypertrophy does not necessarily require surgery, and the specific indications for surgery are determined by the patient’s age and the severity of the disease. 1. Surgery: Under normal circumstances, adenoids reach peak development at the age of 6~7 years old, gradually shrink after the age of 10 years old, and basically disappear after adulthood. If the patient develops sleep breathing disorder, open mouth breathing, inattention, adenoid facies before the age of 10, surgical treatment is recommended. 2. Non-surgical treatment: If the patient is over 10 years old, has enlarged tonsils with adenoid residue, and does not have the above symptoms, conservative treatment is feasible. Patients are advised to avoid colds, pay attention to rest, improve immunity, etc. Symptomatic treatment can be given when necessary. For adenoid hypertrophy, conservative treatment is preferred. If conservative treatment is ineffective or complications occur, surgery is considered. The specific treatment plan should be decided by the specialist.