The fastest way to eliminate enlarged pediatric tonsils, when the indications for treatment are met and there are no relevant contraindications, is surgical resection. Indications for tonsillectomy include repeated acute attacks of chronic tonsils for one year, over-enlargement of tonsils affecting respiration and swallowing, chronic tonsillitis associated with otitis media, sinusitis, etc., and ineffective conservative treatment of tonsillar keratosis. Conservative treatment is generally chosen for acute tonsillar attacks and is not suitable for surgery. In addition, the contraindications for tonsillectomy include hematopoietic system diseases or coagulation disorders, in the season of polio and influenza and other respiratory infectious diseases or endemic areas, and systemic diseases such as active tuberculosis. If the above indications are met and there are no contraindications, surgical removal of the tonsils is recommended, and the commonly used treatment modalities are tonsil stripping and low-temperature plasma-assisted tonsil ablation. It is recommended that children go to regular hospitals for systematic examination, and follow the doctor’s instructions to standardize the use of medication and treatment.