18 doctors weighed in:
I seem to get tonsillitis at least twice a year, should I consider a tonsillectomy?
18 doctors weighed in

Dr. Patrick Melder
ENT - Head & Neck Surgery
5 doctors agree
In brief: Possibly
If you are an adult and are having 2 true tonsil infections/year then it may be an option.
Tonsillitis is usuall pretty painful and most people feel really bad during an episode. This could translate into up to 2 weeks of missed work/year... That may be too much for what you do. If you've had any complications related to tonsillitis - breathing issues or an abscess - i would consider tonsillectomy.

In brief: Possibly
If you are an adult and are having 2 true tonsil infections/year then it may be an option.
Tonsillitis is usuall pretty painful and most people feel really bad during an episode. This could translate into up to 2 weeks of missed work/year... That may be too much for what you do. If you've had any complications related to tonsillitis - breathing issues or an abscess - i would consider tonsillectomy.
Dr. Patrick Melder
Dr. Patrick Melder
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1 comment
Dr. Irwin Berkowitz
In children more than six episodes of tonsillitis in one year, more than five episodes per year for two consecutive years or more than four in each of three consecutive years is an absolute indication for tonsillectomy. Other considerations would be sleep apnea due to adenotonsillar enlargement.
Dr. Farhad Sigari
ENT - Head & Neck Surgery
4 doctors agree
In brief: Tonsil
The current practice guidelines for tonsillectomy are for when the patient has 3 infections a year for 3 years in a row, 5 in 2 years, or 7 in one year. These are guidelines, not rules.
Sometimes the patient has other mitigating factors lead to the decision for tonsillectomy even after one severe episode of tonsillitis. Talk to your ENT or primary md to see if it is right for your situation.

In brief: Tonsil
The current practice guidelines for tonsillectomy are for when the patient has 3 infections a year for 3 years in a row, 5 in 2 years, or 7 in one year. These are guidelines, not rules.
Sometimes the patient has other mitigating factors lead to the decision for tonsillectomy even after one severe episode of tonsillitis. Talk to your ENT or primary md to see if it is right for your situation.
Dr. Farhad Sigari
Dr. Farhad Sigari
Thank
1 comment
Dr. Johnnie Strickland Jr
Tonsillectomy does not prevent infection of the throat; so don't do surgery unless the tonsils are enlarging to the point of interfering with breathing or swallowing and occurr frequently enough to warrant this. To prevent and treat infection use a tsp daily of Silver Sol technology Colloidal Silver (make sure it has a Patent number on the bottle; Nothing is resistant to silver.
Dr. John Chastain
ENT - Head & Neck Surgery
4 doctors agree
In brief: Possibly!
The american academy of otolaryngology- head and neck surgery issues guidelines on tonsillectomy; practically speaking, several (4-6) episodes of tonsillitis in a year, or 2-3 episodes per year for a couple of years in a row is enough to consider tonsillectomy.
Realistically, these recommendations are \"loose\" guidelines; it depends on the severity of your tonsillitis episodes.

In brief: Possibly!
The american academy of otolaryngology- head and neck surgery issues guidelines on tonsillectomy; practically speaking, several (4-6) episodes of tonsillitis in a year, or 2-3 episodes per year for a couple of years in a row is enough to consider tonsillectomy.
Realistically, these recommendations are \"loose\" guidelines; it depends on the severity of your tonsillitis episodes.
Dr. John Chastain
Dr. John Chastain
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Dr. Allen Fein
Family Medicine
4 doctors agree
In brief: Consider elsewhere
2 tonsil infections a year would not usually result in having to have tonsils removed.
The cause needs to be identified. Is it really from strep and from from who? Is it from allergies or a compicated immune problem? How your nutrition? Your physician may decide to send you to an allergist or hematologist, as well as seek out an ENT consult. Surgery is the last resort. Invasive. Costly. Risky.

In brief: Consider elsewhere
2 tonsil infections a year would not usually result in having to have tonsils removed.
The cause needs to be identified. Is it really from strep and from from who? Is it from allergies or a compicated immune problem? How your nutrition? Your physician may decide to send you to an allergist or hematologist, as well as seek out an ENT consult. Surgery is the last resort. Invasive. Costly. Risky.
Dr. Allen Fein
Dr. Allen Fein
Thank
1 comment
Dr. Patrick Melder
Tonsillectomy is not "risky." it is one of the most common surgeries performed in the US. While all surgeries have risks, this does not mean that you should have a tonsillectomy just because it is an option available. Seek out a good surgeon who can lay all the options out for you. Ultimately the decision is yours.
Dr. David Astrachan
ENT - Head & Neck Surgery
1 doctor agrees
In brief: Premature
Two infections a year is not generally enough to justify tonsillectomy.

In brief: Premature
Two infections a year is not generally enough to justify tonsillectomy.
Dr. David Astrachan
Dr. David Astrachan
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Dr. John Chastain
ENT - Head & Neck Surgery
1 doctor agrees
In brief: Possibly!
The american academy of otolaryngology- head and neck surgery issues guidelines on tonsillectomy; practically speaking, several (4-6) episodes of tonsillitis in a year, or 2-3 episodes per year for a couple of years in a row is enough to consider tonsillectomy.
Realistically, these recommendations are "loose" guidelines; it depends on the severity of your tonsillitis episodes.

In brief: Possibly!
The american academy of otolaryngology- head and neck surgery issues guidelines on tonsillectomy; practically speaking, several (4-6) episodes of tonsillitis in a year, or 2-3 episodes per year for a couple of years in a row is enough to consider tonsillectomy.
Realistically, these recommendations are "loose" guidelines; it depends on the severity of your tonsillitis episodes.
Dr. John Chastain
Dr. John Chastain
Thank
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