The changing face of tonsillectomy.

Tonsillectomy is one of the commonest surgical procedures in children, and the subject of much debate and political discourse. Whilst historically recurrent tonsillitis has been the main indication, there has been a shift towards surgery for obstructive sleep apnoea (OSA) in recent years. For recurrent tonsillitis, indications for surgery are now well researched, accepted, and enforced at commissioning level. In the case of OSA, the evidence base for patient selection and management is perhaps not as robust.