Tonsillectomy (adult)

 > Ear, Nose & Throat

 > Tonsillectomy (adult)

What is a tonsillectomy?

A tonsillectomy is an operation to remove the tonsils. The tonsils are part of a group of lymphoid tissues (like the glands in your neck) that help to fight off infection from germs that are breathed in or swallowed.

What are the benefits of surgery?

Tonsillitis happens if the tonsils become infected. This causes pain, fever and difficulty swallowing and can make you feel unwell.

Your doctor may be concerned that your tonsillitis is caused by a cancer, especially if one of your tonsils is larger than the other or has an ulcer on it. The tissue that your doctor removes will be examined under a microscope to help make the diagnosis. If a problem is found, the healthcare team will discuss the appropriate treatment with you.

Are there any alternatives to surgery?

Surgery is recommended as it is the only dependable way to stop tonsillitis that keeps on coming back.

In children, a long course of antibiotics may break a cycle of frequent infections or the tonsillitis may simply stop after a few years. For adults, this treatment is less likely to be effective, especially following glandular fever.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about 30 minutes.

Your surgeon will perform the tonsillectomy through your mouth using one of the following techniques:

  • Cold dissection technique – Your surgeon will use a steel instrument to peel or cut the tonsil away from the layer of muscle underneath it
  • Diathermy technique – Your surgeon will use a diathermy instrument that uses heat to remove the tonsil and cauterise the area
  • Coblation technique – Your surgeon will use an instrument that uses radio-frequency energy to dissolve the tonsil

How soon will I recover?

You should be able to go home the next day.

The pain can last for up to 2 weeks. It usually gets gradually worse over the first 4 to 5 days before beginning to improve, and tends to be worse first thing in the morning.

You will need to stay off work or school and away from groups of people for 2 weeks. This is to help prevent throat infections while your throat is still healing.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a full recovery and return to normal activities.

What complications can happen?

Some complications can be serious and can even cause death.

General complications of any operation

  • Pain
  • Bleeding on the day of surgery
  • Infection of the surgical site (wound)
  • Blood clot in your leg
  • Blood clot in your lung

Specific complications of this operation

  • Small pieces of the tonsil may be left behind
  • Lingual tonsillitis
  • Change of taste
  • Feeling you have something in your throat
  • Change in your voice
This document is intended for information purposes only and should not replace advice your healthcare team gives you. This information is published under license from EIDO Healthcare UK and is protected by copyright. Other than for your personal, non-commercial use, you may not copy, print, download or otherwise reproduce it.

Surgery is the only dependable way to stop tonsillitis that keeps on coming back and the resulting pain, fever and difficulty swallowing.

What to do next
  1. Talk to us about ways to pay, either insured or self-pay, and find out if you need a referral from your doctor.
  2. If you need one, ask your doctor for a referral letter.
  3. Call us to book an appointment with a consultant.
ask a question

We will not contact you for any other reason than to respond to the question or information you request in this form.

For information about how your personal data may be processed please see our Privacy Policy here.

Insured

Find out more about getting started with private health insurance.

Self-Pay

Find out more about our self-pay options.

“Can not fault this hospital one bit. All of the staff were so lovely nothing was too much trouble. Very reassuring and caring which made me feel very much at ease, I didn’t want to come home! They all do such an amazing job and I’m very thankful for everything.”

Jade Baker

“Just had a total knee replacement at this fabulous hospital. From the moment you walk through the door you feel at ease. Everyone was so kind and caring. I was very nervous before my operation, but was soon assured everything would be fine. Thank you to all of you I met over my 4 day stay xx.”

Margaret Dawson

“I was very nervous and stressed before my treatment but all the staff went above and beyond to calm me down and reassure me. I was well informed and was made to feel like a person not just another number. The room I was in was spotlessly clean, not too hot and smelled fresh and not “hospitally”. The staff were very efficient and thorough.”

Leanne Helm

“I was discharged last night following an operation on my ankle. All of the staff where polite and extremely attentive. The room was cosy and clean. Every need was catered for. I was really dreading my operation the staff managed to make my stay very pleasant. Best hospital I’ve ever been in and would highly recommend to anyone. Excellent.”

Mark Goodlad

“Lovey staff, consultants too and such a good atmosphere. Can’t fault it at all”

Vikki Leworthy