When should I consider referring an adult patient for a tonsillectomy due to

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed

Dr Kola Tytler MBBS CertHE MBA MSt MRCGPClinical Lead • iatroX

You should consider referring an adult patient for a tonsillectomy due to obstructive sleep apnoea/hypopnoea syndrome (OSAHS) if they have large obstructive tonsils and a body mass index (BMI) of less than 35 kg/m² .

Key References

NG202 - Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s

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