Absolute indications

Enlarged tonsils that cause upper airway obstruction, severe dysphagia,

sleep disorders, or cardiopulmonary complications
Peritonsillar abscess that is unresponsive to medical management and
drainage documented by surgeon, unless surgery is performed
during acute stage
Tonsillitis resulting in febrile convulsions
Tonsils requiring biopsy to define tissue pathology

Relative indications

Three or more tonsil infections per year despite adequate medical therapy
Persistent foul taste or breath due to chronic tonsillitis that is
not responsive to medical therapy
Chronic or recurrent tonsillitis in a streptococcal carrier not responding to
beta-lactamase-resistant antibiotics
Unilateral tonsil hypertrophy that is presumed to be neoplastic

Cystoscopy
Hydrocelectomy
Spinal Anesthesia
Propofol