Many parents are confused about whether their child’s adenoids should be operated on: they are distressed that their child needs general anesthesia, that they need an operation, and that they expect the adenoids to shrink on their own. In fact, there are strict surgical indications for considering whether a procedure should be performed. All parts of the body are of course naturally good, but when a tissue that produces far more harm than it serves, then surgical removal is of course a good choice. Children with adenoid hypertrophy, when symptoms such as sinusitis middle ear infection sleep snoring and breath-holding, have a great impact on the growth and development of children, which can cause chronic hypoxia and even facial developmental deformities, at this time, surgical removal is undoubtedly the best choice. The current general anesthesia surgery for children actually has very little risk, and we carry out nasal endoscopic excision of adenoids with a suction cutter, which has the characteristics of small invasion and precision, with excellent clinical results.