Traditionally, hematologic disorders are considered a contraindication to surgery for chronic tonsillitis. This is due to the fact that tonsillectomy is highly susceptible to complications of infection and bleeding due to the hematologic disease itself and the immune deficiency caused by the antineoplastic chemotherapy process. However, due to the low immunity of this group of patients, the tonsils, as the main line of defense of the upper respiratory tract ____, are often the main site of bacterial and viral attack. Clinically, there are often patients with aplastic anemia and other conditions in which the tonsils are monthly septic and monthly feverish. Repeated infections of the tonsils have the potential to exacerbate blood disorders. Whether or not to perform tonsillectomy at this time is a struggle for both the patient’s family and the physician. At present, we have successfully carried out the operation for patients with remitting and thrombocytopenic purpura by making adequate preoperative preparation, preoperative and intraoperative platelet supplementation, collaboration with hematology department, active treatment of primary diseases and anti-infection work, and careful operation during the operation. None of the patients had intraoperative and postoperative bleeding, and the results were very good. The postoperative visits revealed that the upper respiratory tract infections of such patients were significantly reduced, and the hematological diseases were in a relatively stable state. Therefore, we believe that hematologic disorders (currently, mainly remitting and thrombocytopenic purpura) are not entirely contraindications to tonsillectomy.