Adenoid hypertrophy includes physiologic and pathologic conditions. Physiologic adenoid hypertrophy can heal spontaneously with growth and development, while pathologic adenoid hypertrophy usually requires surgical treatment. Adenoids are part of the inner ring of the pharyngeal lymphatic ring, and physiologically, they develop to their maximum size around 6 to 7 years of age in children. As they age, they gradually shrink after puberty and most of them disappear in adulthood. Physiologic adenoid hypertrophy can heal on its own without special treatment. When adenoid hyperplasia and hypertrophy cause clinical symptoms, then it is pathological adenoid hypertrophy, which can block the posterior nostril, press the Eustachian tube and so on, resulting in nasal congestion, ear stuffiness, earache and other uncomfortable symptoms. Adenoidectomy surgery is required after evaluation by a doctor, and after standardized treatment, adenoids are often no longer proliferating. If adenoid hypertrophy occurs, you can actively consult a doctor and follow the doctor’s instructions for reasonable treatment.