When is it a good idea to get a tonsillectomy?

Tonsil guidelines. Criteria for tonsillectomy includes one of the following: 1. Recurrent throat infections with documentation occuring 7 times per year, or at least 5 per 2 years or at least 3 per 3 years. 2. Recurrent throat infections with multiple antibiotic allergies, history of peritonsillar abscess. 3. Tonsil enlargement with presence of sleep disordered breathing. 4. Asymmetrical tonsil growth.
Chronic or OSA. Recurrent or chronic tonsillitis / throat infections, especially if affecting school / work attendance or performance, or (in young children) for obstructive sleep apnea. We don't recommend tonsillectomy just based on large tonsil size anymore.