Tonsil hypertrophy of the 2nd degree, usually refers to the tonsils II degree enlargement, if it is due to repeated inflammation of the tonsils, surgical treatment is required. If it is occasional acute inflammation of the tonsils, tonsil II degree enlargement, or physiological tonsil II degree hypertrophy, does not affect the ventilation does not require surgical treatment. Tonsils II degree enlargement is the degree of tonsil enlargement has exceeded the pharyngeal and palatal arches did not reach the palatal pituitary, whether the need for surgical treatment need to be judged according to the condition. Repeated inflammation of the tonsils makes the tonsils Ⅱ degree enlarged, the patient appears to have a pharyngeal obstruction, and affects the patient’s respiratory function, articulation function, swallowing function; Tonsillitis has become the lesion of other organs, such as rheumatic fever, myocarditis, etc.; Tonsillitis has the association with the lesions of the neighboring organs, such as otitis media, sinusitis; the existence of tonsillar keratosis; the need for acute inflammation subsided 2-3 weeks after the surgical removal of hypertrophied tonsils. . Occasional acute tonsillitis, tonsils Ⅱ degree enlargement, do not need to take surgical treatment, need to take under the guidance of the doctor with cefuroxime, amoxicillin and other antibiotics; tonsil physiological Ⅱ degree hypertrophy, does not affect the ventilation, may not need surgical treatment. It is recommended that patients with tonsil hypertrophy of the second degree need to consult a doctor in a timely manner, the specialist will be based on the patient’s condition to determine whether the need for surgical treatment.