The two main problems that require tonsillectomy are occlusion, that is, tonsils that are large enough to cause continual snoring and cessation of breathing during sleep, and recurrent tonsillitis.
If a child has bacterial tonsil infections 7 times in a year, 5 times in 2 consecutive years, and 3 times in 3 consecutive years, the tonsils should be removed.
In addition, if the development of abscess around the tonsils and the differences in the size of the tonsils suggest tumoral formations, the tonsils should be removed.