The need for surgery for enlarged adenoids in children should be determined on a case-by-case basis. If the disease is mild, surgical treatment is usually not required. If accompanied by respiratory sleep apnea, surgical treatment is usually required. Adenoid hypertrophy is the result of repeated inflammatory stimulation from various causes, which leads to hyperplasia and hypertrophy and can cause a range of symptoms. Patients may experience nasal congestion, runny nose, stuffy ears, ear pain, and open-mouth breathing. Due to prolonged airway obstruction, sleep can be affected, and some patients may develop obstructive sleep apnea, accompanied by hypoxia during sleep. In general, if the patient’s symptoms are mild and do not affect normal life, surgical treatment is usually not necessary. However, if the patient’s condition is more serious and affects sleep, and is accompanied by repeated episodes of chronic secretory otitis media and sinusitis, it is necessary to take timely surgical treatment, such as adenoidectomy, tonsillectomy, ionized radiofrequency ablation, and so on. Once a child is diagnosed with enlarged adenoids, parents need to bring the child to the hospital and actively cooperate with the doctor to take treatment measures.