Oral tonsil stones are caused by repeated inflammation of the tonsils, obstruction of drainage after fibrosis of the crypt opening, and accumulation of caseous material formed by shedding epithelium and bacterial debris in the crypt, and are usually treated by removal of the stones or tonsillectomy. Most tonsil stones do not require treatment if the patient has no uncomfortable symptoms. If symptoms such as pain, swelling, and difficulty swallowing are present, tonsil stone removal or tonsillectomy may be considered. Some tonsil stones can cause acute attacks of chronic inflammation of the tonsils and throat discomfort, and only removing the stones will leave a void in which food debris can easily be trapped. Surgical removal of tonsils and stones can prevent recurrence. If the diagnosis of oral tonsil stones, it is recommended to consult a doctor in a timely manner to clarify the diagnosis and condition, and standardize the treatment under the guidance of the doctor.