Children with enlarged adenoids and thick lips need to adopt different treatments for the degree of the disease, and common treatments include medication, physical therapy, surgery, etc. According to the different conditions of the patients, the most suitable and effective method will be chosen. Children with enlarged adenoids are mostly found in children aged 3-7 years old, who may suffer from nasal congestion and runny nose, as well as abnormal development of the maxillofacial region due to prolonged open-mouth breathing, resulting in adenoidal facial features. Adenoid hypertrophy can be treated with medications, such as oral leukotriene antagonists (e.g., cetirizine, loratadine tablets, etc.) and nasal sprays (e.g., mometasone furoate, etc.). Nasal rinsing with saline can be used to discharge mucous secretions from the nasal cavity, improve nasal ventilation, and relieve symptoms such as nasal congestion. If the patient does not receive timely treatment, the symptoms will gradually worsen and may cause growth retardation, affect the development of maxillofacial bones and other complications, which will seriously affect the quality of life. Adenoidectomy can be performed to improve nasal and pharyngeal ventilation and relieve discomfort. Children with thick lips and enlarged adenoids should seek timely treatment to avoid delays and complications.