Adenoid hypertrophy in children does not necessarily require surgery. For children with mild clinical symptoms, such as acute upper respiratory tract infection, acute rhinitis, sinusitis, adenoid hypertrophy, snoring, sometimes hitting, sometimes not hitting, open mouth breathing, nasal endoscopy or nasopharyngeal examination, adenoid hypertrophy does not exceed 1/2 of the nasopharynx, conservative treatment can be tried first, including nasal spray hormone therapy, oral antihistamines and antibiotics. Treatment. If, after 2-4 weeks of clinical treatment, symptoms are significantly relieved, rhinitis and sinusitis secretions are reduced, and symptoms of secretory otitis media are relieved, surgery can be suspended and regular follow-up observation can be chosen. As for patients with severe adenoid hypertrophy, blocking the posterior nostril more than 3/5 or even 4/5, with clinical symptoms of severe snoring, open-mouth breathing, hypoxia, apnea, affecting pediatric sleep quality, and appearance of adenoid face, early surgery is recommended to avoid delaying the best treatment time.