The etiology and definitive pathogenesis of tonsil stone formation is not clear, and may be caused by repeated episodes of tonsillar inflammation, blockage of the crypt openings, and accumulation of caseous material in the crypts. The etiology and definitive pathogenesis of tonsil stones are not yet clear, it may be due to long-term recurrent tonsil inflammatory reaction, stimulation of the tonsils, tonsil crypt mouth blockage, food debris, shed mucosal epithelium, death of bacteria or secretions gathered in the tonsil crypts, the formation of caseous material, the tissue degenerative calcification to form stones. Not paying attention to oral hygiene, smoking, etc. can increase the risk of morbidity. Prevention of tonsil stones should pay attention to oral hygiene, timely treatment of dental caries, quit smoking and alcohol. The presence of tonsil stones should be standardized treatment under the guidance of a doctor.