There is a possibility of compensatory growth of the tonsils after adenoid removal, but the specifics will vary from person to person. Adenoids and tonsils are both composed of lymphoid tissue, belonging to the pharyngeal lymphatic circulation system, which can influence and stimulate each other, so adenoidectomy may cause compensatory growth of tonsils in some patients. There are also a small number of patients who will have hypertrophy of lingual tonsils or hyperplasia of lymphoid follicles in the root area of the tongue and the posterior pharyngeal wall after surgery, even though there is no obvious enlargement of the tonsils. A thorough evaluation of the tonsils is required prior to adenoidectomy. Adenoidectomy is often performed in conjunction with tonsillectomy, but if there is no clear indication for surgery on the tonsils, the adenoids can be removed alone. Due to individual variability, it is recommended to visit an ENT department in a regular hospital and choose the appropriate treatment plan according to the doctor’s instructions.