If a child’s tonsils are overly enlarged and interfere with breathing, causing symptoms such as snoring, difficulty breathing, or pauses in breathing during sleep, surgery to remove them should be considered. Additionally, if the tonsils show signs of keratosis, calculi, or tumors, or if recurrent tonsillitis leads to systemic diseases such as myocarditis, nephritis, and rheumatic heart disease, surgery to remove the tonsils should also be considered.