Tonsillar hypertrophy 3rd degree in a 7 year old child requires excision. This is especially true for chronic tonsillitis with airway obstruction and recurrent infections. Tonsillectomy (with or without adenoidectomy) is one of the most common pediatric surgeries, and is often needed in children with 3rd degree tonsillar hypertrophy that fails to respond to conservative treatment, and in combination with airway obstruction and recurrent infections such as sleep apnea or obstructive sleep apnea. When a child’s over-enlarged tonsils affect breathing and swallowing, he or she should go to a regular hospital in a timely manner and be treated under the guidance of a doctor, undergo tonsillectomy if necessary, and avoid infections in his or her life.