Background: Tonsillectomy is an operative measure in which the tonsils are removed completely. It is commonly performed surgery in Pediatric age group and less frequently in adults. There are certain absolute and relative indications for tonsillectomy. The outcome of the surgery is said to be doubtful in preventing recurrent throat pain. Aim: The aim of this article is to prevent and to reduce the risk of surgical intervention for Tonsils through advancement in Ayurveda conservative line of management. Materials and Methods: The Anatomical, Patho-Physiological and treatment modalities aspects of Tonsils and Tonsillitis reviewed. The classical description of Tonsils and its treatment modalities with recent advancement reviewed. Settings and Designs: Illustrated scientific analysis of benefits and loses between conventional practice of tonsillectomy and recent advancement in Ayurveda with conservative treatment. Results: Appropriate decision of tonsillectomy should be taken after complete evaluation / Ayurveda conservative treatment in order to preserve tonsils in situ.

Keywords: Tonsillectomy; Complications; Treatment; Pediatric; Recurrent.