Some small-sized tonsil stones may fall out automatically when coughing vigorously, gargling, or brushing teeth, but most cases require stone removal for treatment. Tonsil stones are caused by repeated episodes of tonsillitis, which leads to fibrosis of the crypt opening and obstruction of drainage, resulting in the accumulation of food debris, secretions from the crypt, and bacteria. Tonsil stones can be large or small, small stones, the patient can have no obvious feeling, with the increase of stones, the patient can appear pharyngeal foreign body sensation, pharyngeal pain, pharyngeal itch, cough, bad breath and other manifestations. For some smaller size and shorter formation time of tonsil stones, they may fall off automatically when the patient coughs violently, brushes teeth and gargles, but for some larger stones, it is difficult to fall off on their own, and they need to come to the hospital for consultation, and they can be removed with a spatula or pliers, or they can consider tonsillectomy or incision and extraction of stones for treatment. It is recommended that patients should pay attention to rest during the recovery period, drink more water, develop good oral hygiene habits, brushing teeth in the morning and evening, rinsing the mouth after meals, and in terms of diet should be as light as possible, easy to swallow, and try to avoid eating hard or irritating food, so as not to aggravate the condition.