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.