“Doctor, our child’s tonsils are always inflamed, can they be surgically removed ……” “Our child’s tonsils are always inflamed, the hospital wants to operate, will it affect his health if they are removed…” “Doctor, how old can our child be before his tonsils are removed ……” I guess every ENT doctor hears these kinds of questions every day. …” “Doctor, how old can our child be to have his tonsils cut out? ……” I guess every ENT doctor hears these kinds of questions from patients every day. Why do children always have inflamed tonsils? The tonsils are considered one of the defense organs of the respiratory tract, filtering germs and producing antibodies to protect the respiratory and esophageal tracts from germs, and are at their most developed at the age of three to five. As with other lymph glands, if germs invade, there will be enlargement and swelling. Therefore, many respiratory infections are associated with redness and inflammation of the tonsils and lymph glands of the throat. If the inflammation of the tonsils is particularly severe, there will be pus. From the viewpoint of immunity, the tonsils should not be removed casually because of their immune effect on the body. Enlarged tonsils in children are a normal physiological phenomenon. If they are enlarged but do not affect breathing and swallowing and do not produce heavy clinical manifestations, they should not be removed. This is because the removal may affect the local immune response and reduce the body’s ability to fight infection. Basically, tonsillitis itself is a very benign disease, however, the problem will lie in the pathogenic bacteria itself, the severity of the infection and the strength of the body’s resistance. If the causative agent only causes a localized infection of the tonsils, the infection will pass and you will be fine. However, some pathogenic bacteria have systemic effects and may have a more complicated course or bad sequelae, such as arthritis, nephritis, myocarditis, endocarditis, etc. Generally, tonsillectomy in children should be performed after the age of four, and it is more appropriate to wait for two to three weeks after the inflammation subsides to remove. However, if the attacks are too frequent and cannot wait for a long time, surgery can be considered a few days after the attacks subside. Indications for tonsillectomy include: tonsillitis four or more times a year; tonsillitis three or more times a year for two years; upper respiratory tract obstruction caused by enlarged tonsils, resulting in severe snoring, poor swallowing and slurred pronunciation; one or more tonsillar abscesses; tonsils causing systemic disease, becoming focal tonsils; repeated inflammation of tonsils causing rhinitis, otitis media The procedure is carried out under general anesthesia when the tonsils have been repeatedly inflamed. The procedure is performed under general anesthesia, and the tonsils are removed while the patient is in a deep sleep and loses pain perception. Most incisions are made without sutures and heal spontaneously. Patients are usually hospitalized for 24 hours or more after surgery. Tonsillectomy is generally not considered to have any adverse effects on later life.