Abstract Aim Tonsillectomies represent one of the most commonly performed ENT procedures worldwide. Waiting lists throughout the NHS remain large with associated delays in treatment and increased morbidity, so we must strive to maximise our operative efficiency. In the past 2 years in our trust, we have introduced the use of the BiZact tonsillectomy device in order to increase theatre efficiency and reduce operative and wait times. We have previously presented this work and here present updated figures. Method The BiZact device has been used by a range of consultants and registrars having been proven in multiple previous studies to offer a safe alternative to conventional technique tonsillectomies. Analysis of the theatre time, “time-on-tonsil” and post-operative bleed and admission rates has been continuous. Results Previously analysed conventional tonsillectomy data showed average recorded theatre time of 36m:00s (n=72). With 103 comparable BiZact tonsillectomies performed, the average theatre time for BiZact is 13m:11s, with an average time-on-tonsil of just 4m:22s (for bilateral tonsillectomy). A post-tonsillectomy haemorrhage rate of 17.5% was recorded including those attending separate trusts. There have been 0 primary post-tonsillectomy bleeds requiring return to theatre. 24% of BiZact tonsillectomies were performed by SHOs or Registrars. Conclusions The efficiency gains offered by BiZact tonsillectomy continue to be evident as numbers increase with more being performed by junior trainees. Bleed rates remain within the range of expected adult haemorrhage rates more recently observed nationally and internationally. This has facilitated further efficiency gains in our theatre usage for tonsillectomy lists with additional cases per session.