Abstract
Tonsillectomy, adenoidectomy, or the combination is probably the most frequently performed operation in this country today. It is usually thought of as a procedure that does not do any harm. Yet in the past there have been reported more serious complications, such as cardiac arrest, lung abscess, pneumonia, and hemorrhage during adenotonsillectomy, than with any other single surgical procedure. This operation formerly was done by persons trained and skilled in oral surgery. However, at the present time far more tonsillectomies and adenoidectomies are done by doctors in the general practice of medicine and in general surgery than are done by physicians specially trained in otolaryngology. In the United States today more tonsils are removed in small hospitals and in physicians' offices than in the large clinics. In many instances factors surrounding the operation, especially as pertain to safety, may be less than optimum. Unfortunately, the attitude has arisen that tonsillectomy
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