<s>[INST] We are living in Bangalore and my 4 year old son have enlarged Adenoid (for last year and half). Due to this he s prone to cold and his body resistance to infection is little low. We consulted few ENT specialists w.r.t removal of enlarged Adenoid via surgery. We got mixed opinions on that. As I understand Adenoid is first level of defense in the respiratory track and it s removal can have unfavorable consequences in longer run. Also there s chance of getting it back between age 6-8 yrs. We are following Homeopathy & Ayurvedic treatment (off and on) for last year or so. My son is some-what better w.r.t frequency of getting infections. But still he snores a lot and breaths with open-mouth most of the times. We are just worried if this prolong mouth-breathing will do some damage to his internal organs and ears (due to some-what frequent chest & ear infection). [/INST] Hi, Your child sleeps with mouth open, this means that the tonsils are quite large at the age of 4 years. If there is difficulty in breathing or not able to swallow anything then the child should be operated. Tonsillectomy is a common operation and there are some minor complications like nasal discharge, sore throat, ear ache, but these symptoms usually subside over 3 weeks. In my opinion, you should go for tonsillectomy. I hope this has helped you. Take care. Regards Chat Doctor.  </s>