The most common cause of snoring in children is enlarged tonsils and adenoids, and the common symptoms include nasal congestion, snoring, inattentiveness, coughing, and reduced learning ability. This has a great impact on the growth and development of children. When it comes to surgery, parents are often very worried and afraid. When it comes to tonsil and adenoidectomy, parents often ask, “How invasive is the surgery?” “Is it a minimally invasive surgery?” “Is it a plasma radiofrequency surgery?” “Can my child tolerate this surgery?” “Is it better to use laser surgery or plasma surgery?” In response to these questions from parents, I will now talk about the surgical treatment of adenoids. This is the reason why I am writing this article. Traditional adenoids scraping surgery is a blind scraping operation, which can easily cause postoperative bleeding, damage to the mucous membrane of the pharyngeal tube, pain, and dead space of the surgical lesion due to the limitation of the instrument, and it is not easy to completely remove and cause recurrence, so it has been basically abandoned in large hospitals in China. With the development of pediatric anesthesia technology and the update of medical equipment, adenoids surgery has been changed to be performed under general anesthesia, and now the commonly used procedure is “TV 70 degree nasal endoscopic adenoidectomy”, which is operated under direct vision, with accurate surgical positioning, significantly reducing the operation time, postoperative bleeding, pain and scar granulation tissue, and achieving long-term symptomatic improvement. It is a powerful tool for the treatment of adenoid hypertrophy, which can achieve long-term improvement of symptoms. The surgical approach is a general anesthetic transoral approach with an orifice and a suction tube to retract the soft palate. The 70° nasal endoscope allows a clear view from the beginning to the end of the operation and allows a large range of motion of the instruments without causing damage to the nasal mucosa. There are usually two sites where adenoid surgery is prone to bleeding. One is located at the nasopharyngeal parietal wall near the posterior nostril, which is bilaterally and symmetrically distributed with small adenoid blood supply arteries, and is prone to bleeding if excised too deeply. The adenoids can be removed from the lowermost end of the adenoids to the superficial layer of the prevertebral fascia, and then along the level in the order of bottom-up and left-to-right. When removing tissue during plasma surgery, it is important to keep the tip slightly away from the adenoid tissue and to use the side of the tip for excision, moving the tip so that the dorsal side of the tip is facing the adenoid tissue to minimize tip obstruction. The adenoids that protrude into the posterior nostrils and pharyngeal orifice of the eustachian tube should be carefully removed before removing the adenoids from the roof and posterior wall of the nasopharynx, which can significantly shorten the operation time. The adenoids need not be removed very thoroughly, so as not to injure the prevertebral fascia. This method bleeds a little bit more, and there will be a small amount of blood oozing from the wound after the operation, and it is very effective to stop the bleeding by using cotton ball or hot saline gauze for 3-5 minutes. The suction of the suction device can be used to remove the tissue that is sucked into the tip of the knife, which will not hurt the deep blood vessels. Personally, I often use a cutting suction device to remove adenoids layer by layer to ensure the accuracy of excision and avoid accidental injury, and to stop bleeding with electrocoagulation after compression. Whether the adenoids are removed by radiofrequency surgery with low-temperature plasma or by cutting and suction, both surgical procedures are minimally invasive and take about 5-10 minutes to perform, although the operating time may be extended depending on intraoperative bleeding. Generally, on the day of adenoidectomy, children are given cold fluids such as milk, juice, yogurt, ice cream, etc. The next day, they can eat warm semi-liquids such as noodles, congee, cakes, ravioli, etc. After 7-10 days, they can eat regular meals. Some children will have fever for 3-5 days after surgery, which usually occurs after surgery, we call it “surgical fever”, if it is not high fever, no special treatment is needed. Snoring and open mouth whistling will not disappear immediately after surgery, often because of wound edema, there will be aggravation within a few days, parents should not worry, it will generally slowly improve and disappear a week after surgery. At the same time, it is best to use endosonar nasal spray for 4 weeks after surgery, take oral cetirizine hydrochloride for one week, and add oral anti-inflammatory drugs for 5-7 days if necessary. In case of children with preoperative combined secretory otitis media, oral mucus promoter and ear drops should also be used for postoperative treatment, and a follow-up visit to the outpatient clinic must be made after surgery. With advances in anesthesia and surgical techniques, adenoids surgery has now become a safe and quick routine procedure. Parents need not be overly concerned or afraid.