Can i get tonsillectomy under local anesthesia only of just sedation? or is general my only option?

Anesthesia choice: Yes, you can remove tonsils under local anaesthesia only. But only if you have the ability to psyche yourself out to the point that your body doesn't react to the other surgical impulses. Example: the mouth guard use to keep your mouth open for the surgery. The blood and fluids going to your stomach. Also, your surgeon won't be able to anesthetise all areas before causing you pain. Got it ?!

Possible: It is still done in the 3 d world, but it will not be standard of care in the us, although possible.

Contraindications to: Ga? For best management and protection of the airway - in the small percentage of cases with significant bleeding, which can sometimes be difficult to manage in the airway of an awake patient, ga with an advanced airway would be recommended and the most comfortable.

General: Just try and imagine something operating in the very back of your throat. The discomfort, as well as the blood loss, would make it extremely uncomfortable. The only way to do this is under general anesthesia.