Tonsil hypertrophy will not go down with medication. 1. physiological hypertrophy of tonsils is tonsils without inflammation just larger. It is mostly seen in children and adolescents. With the growth of age, children’s tonsils immune function is gradually active, especially at the age of 3 to 5 years old due to increased exposure to external allergens, tonsils increased significantly, at this time, tonsil hypertrophy should be regarded as a normal physiological phenomenon, generally 8 years old, with the rise of systemic resistance, tonsils will gradually shrink. 2. Under the stimulation of bacterial, viral infection or adverse physical and chemical factors, the volume of tonsils gradually increases, at this time, if the active anti-infective treatment generally can be restored. However, if tonsillitis is recurrent and the tonsils are enlarged and hypertrophied, which affects breathing, surgical resection is needed. In addition, if the tonsil tumor caused by hypertrophy, also need surgical resection treatment. Patients with enlarged tonsils need to actively go to the hospital to let the specialist physician examination combined with the patient’s specific situation to choose standardized medication and treatment.