The adenoidectomy is the surgery performed to remove adenoids. When surgeons remove adenoids because they are enlarged, they tend to be relatively aggressive in cases of borderline enlarged tonsils. This operation is known as an Aden tonsillectomy. Too often, when such tonsils are left, several months later they became enough of a problem to require removal.
The procedure is performed as an outpatient at either the hospital or the day-surgery unit, where a pediatrician will ask you questions about the child's general health to make sure he is fit enough for the procedure. He will also check that the child has not had anything to eat or drink in the last 6 hours, and will take the child's weight, pulse, respiration rate, and blood pressure. You must tell the doctor if your child has had any allergic reaction to drugs in the past.
With Day Surgery, children are admitted to the Day Surgery Unit, have their surgery performed, wake up from anaesthesia, and go home with their family all in the same day. If the child is admitted as a day case, the operation will usually be carried out early in the morning to allow enough time for observation after the operation.

The operation must be performed by a pediatric otolaryngologist. It is always performed under general anaesthetic, so the child will be asleep during the whole procedure. The anaesthesiologist will monitor your child throughout the procedure. General anesthesia is a medication used to induce unconsciousness during surgery. The drug is either inhaled through a breathing mask, or administered through an intravenous line (a thin plastic tube inserted into a vein, usually in the child's forearm). The anesthesiologists have the education, skills, and training necessary to carefully match the anesthetic needs of each patient to that patient's medical condition, responses to anesthesia, and surgery requirements. The role of the anesthesiologist in the operating room is to: 1) Make a constant medical assessment of the patient. 2) Monitor and control the patient's vital life functions (heart rate, breathing, blood pressure, body temperature, and body fluid balance).

Once the surgery is complete, the anesthesiologist ceases the anesthetic, the medication wears off, and the patient gradually wakes up in the recovery room. Expect your child to be sleepy and to doze off often. Some children become very excited and confused when awakening from anesthesia. This reaction can be disturbing, but usually lasts only a brief time. Your doctor will come to the waiting room to talk with you once your child is safely in the recovery room. This is a surgery that has an excellent outcome, and you can expect your child to make a full and quick recovery once the initial pain has resolved. Snoring and sleep apneas disappear immediately, and sometimes it is necessary to consult a phonoaudiologyst to resolve mouth breathing. Children with failure to thrive improve their appetites and gain weight because their throats are no longer chronically sore, they can breathe better, and swallow less secretions.

Adenoidectomies help resolve ear fluid problems, speech delays, and perceptions of low intelligence. Almost every child experiences improved health and more energy following a well indicated procedure.
Please be honest with your child as you explain his upcoming surgery. Talk to your child about his feelings, and provide strong reassurance and support throughout the process. Encourage your child to think of this as something that will make him healthier. Let him know that he will be safe and that you will be close by. There are many anaesthesiologists who put the patient to sleep in the parents arms. A calming and reassuring attitude will greatly ease your child's anxiety. You can assure him that he will have minimal pain following the procedure. Let him know that if he does have any pain, it will only be for a short time, and that he can take medicines which will greatly reduce it. If your child has a friend who has had this surgery, it may be helpful to talk about it with that friend.