Adult tonsillectomy, performed by experienced ENT surgeons Dr Simon Braham and Dr Stephen Kleid, can relieve chronic throat infections, sleep apnoea, and tonsil stones. At Melbourne ENT, we provide personalised care from consultation through to recovery, ensuring consistency and clarity throughout your treatment.
What is Adult Tonsil Surgery?
Tonsillectomy involves removing the two lymphatic tissues at the back of the throat. It is typically recommended for:
- Recurrent tonsillitis
- Obstructive sleep apnoea
- Tonsil stones (tonsilloliths)
- Suspicious or abnormal tonsil growths
Benefits include fewer infections, better sleep, clearer speech, and improved overall wellbeing. Histopathology is performed if tissue changes are found.
Who Needs It?
Surgery is usually advised for adults experiencing:
- Frequent throat infections despite treatment
- Enlarged tonsils causing snoring or breathing issues
- Persistent bad breath or discomfort from tonsil stones
- Abnormal growths needing examination
Benefits of Surgery
Most patients experience:
- Fewer infections and antibiotics
- Better sleep and energy
- Improved breathing and swallowing
- Relief from bad breath and tonsil discomfort
- Peace of mind from removing abnormal tissue
What to Expect: Consultation
Your consultation includes:
- Thorough review of symptoms and medical history
- Physical exam of throat and neck
- Additional tests if needed (such as a sleep study, endoscopy or imaging)
- Detailed discussion of treatment options, risks, and recovery
How the Surgery is Performed
The procedure is performed in a hospital under general anaesthetic. The tonsils are accessed through the mouth, with no external cuts. Common techniques include electrocautery or coblation, which uses lower heat and is preferred for reduced tissue damage. The surgery typically takes 30 to 60 minutes, and most patients return home the same day.
Recovery Process
A sore throat peaking around day 4 or 5 is normal and may radiate to the ears. Patients should maintain a soft food diet and stay well-hydrated. Strenuous activity and air travel should be avoided for at least two weeks. Pain relief is carefully managed, with anaesthetists expert in pain management available post-operatively. Mild mouth odour and scabbing are common parts of healing. Seek immediate care if bleeding or fever occurs.
Risks and Complications
Risks include early or delayed bleeding, which may require medical attention. Infections are rare and treatable with antibiotics. Temporary changes in voice or taste and mild reactions to anaesthesia can occur.
Costs and Medicare Coverage
Tonsillectomy qualifies for Medicare item 41793. Most private health funds cover it under hospital insurance. A detailed quote will outline surgeon and anaesthetist fees, hospital costs, and pathology charges. Self-funded options are available for uninsured patients.
FAQs About Adult Tonsil Surgery
Can tonsillectomy in adults affect my voice or singing ability?
- Yes, some patients notice temporary changes in their voice, particularly in tone and resonance. This is usually due to inflammation or altered muscle use during healing. For singers or professional voice users, a full recovery period and possible voice therapy may be advised.
Is there an ideal time of year to have tonsil surgery?
- Some adults choose to schedule surgery in cooler months to reduce the risk of dehydration or during quieter work periods. While timing can be flexible, it’s best to avoid peak flu seasons and ensure you have support during your recovery.
Will my sense of taste change permanently after surgery?
- A small number of patients report a temporary change in taste sensation due to nerve involvement near the tonsils. In nearly all cases, taste returns to normal within a few weeks to months.
Could untreated tonsil problems lead to more serious issues over time?
- Yes, chronic tonsil infections can lead to abscesses, systemic inflammation, and in rare cases, complications affecting the heart or kidneys. Enlarged tonsils can also contribute to long-term sleep and cardiovascular problems if sleep apnoea is present.
How will I know if I’m swallowing blood after surgery?
- If you experience a metallic taste, notice dark or red discoloration in your saliva, or feel nauseated with dark vomit, you may be swallowing blood. It’s important to alert your doctor or seek immediate care if this occurs.
Is there a risk that my tonsils could grow back?
- Complete regrowth is extremely rare in adults. In cases where only part of the tonsil is removed or residual lymph tissue remains, some regrowth can occur, but it’s uncommon and usually does not require further surgery.
How soon after surgery can I return to speaking normally?
- Most adults find their voice feels strained or uncomfortable for about a week. Gentle speaking is encouraged after the first few days, and most people return to their usual speaking habits within two weeks.
Book Your Consultation Today
If you suffer from chronic throat infections, obstructive sleep apnoea, or recurring tonsil stones, adult tonsil surgery could provide lasting relief. Our team is here to support you from the first appointment through to full recovery. Please call or contact us to schedule your comprehensive consultation at Melbourne ENT. Your health and comfort are our priority.
Why Choose a Melbourne ENT Surgeon
If you are experiencing chronic throat infections, sleep apnoea, or persistent tonsil problems, adult tonsil surgery may offer lasting relief. To book a consultation, please contact Dr Simon Braham at Melbourne ENT on (03) 9038 1311 or visit his website, or contact Dr Stephen Kleid on (03) 9038 1630 or visit his website.
Further Reading
- Read more about Tonsil Surgery for Children
- Read more about Throat Concerns
Medical References
- Efficacy and Quality-of-Life Impact of Adult Tonsillectomy
Arch Otolaryngol Head Neck Surg (JAMA Network)
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/482592 - Safety of Adult Tonsillectomy: A Population-Level Analysis of 5968 Patients
JAMA Otolaryngol Head Neck Surg
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/1814414 - Conservative management versus tonsillectomy in adults with recurrent acute tonsillitis (NATTINA trial)
The Lancet
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00519-6/fulltext - Tonsillectomy and Adenoidectomy – StatPearls
NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK536942/ - Long-Term Results From Tonsillectomy in Adults
PubMed Central (PMC)
https://pmc.ncbi.nlm.nih.gov/articles/PMC4732178/ - Adult tonsillectomy: An evaluation of indications and complications
ScienceDirect (Otolaryngology Journal)
https://www.sciencedirect.com/science/article/abs/pii/S0196070922000308 - Adult tonsillectomy: postoperative pain depends on indications
Brazilian Journal of Otorhinolaryngology (Elsevier)
https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-adult-tonsillectomy-postoperative-pain-depends-S1808869416000124
Why Choose Dr Kleid ?

Dr Stephen Kleid,
Melbourne ENT Surgeon
MED0001052799
Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
Dr Kleid’s Procedures
Why Choose Dr Braham ?

Dr Simon Braham, Melbourne ENT Surgeon
MED0001144757
Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.
Dr Braham’s Procedures
- ENT Surgery for Children (ENT Paediatric Surgery)
- Aesthetic Surgery
- Sinus Surgery and Nasal Surgery
- Tonsilectomy (for Tonsils)
- Grommets
- Laryngology
- Rhinology
- Surgery for Snoring
- Voice Disorders
How can we help?
Our Team takes pleasure in assisting you with any questions when considering a surgical procedure. Please call the St Kilda East clinic in Melbourne between 9 am – 5 pm on Weekdays.
What Next?

Want more information about your Procedure?
- Please read our website and blogs to find out more about your procedure and concerns
- For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
- Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday

What to Bring to Your Consultation
- We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
- It is important to take thorough notes and carefully review all the documents provided to you.

How to Book a Consultation
- A referral from your GP or Specialist is necessary to see a surgeon for a consultation.
- Dr Kleid’s Nose Surgery consultation fee is $600 which includes a nasendoscopy ($300).
- Please contact us today to book your consultation.