Adenoid is the lymphoid tissue present behind the nose (nasopharynx). It generally increases in size till 5-7 years then stabilizes and recedes by 10-12 years of age. Normally it does not block nasal airways and rarely gets affected. In some persons it grows unusually blocking nasal airway & recurrent tendency of getting infected. It can lead to growth retardation, crowding of teeth, decreased hearing ( due to fluid accumulation generally), inadequate sleep, mouth breathing, decreased alertness affecting studies etc. It is advisable to go for surgery if medical line of management is of no relief. Procedure is done under general anaesthesia by latest techniques involve using microdebrider or coblation leading to adequate removal of disease. Post surgery, drastic improvement occurs in symptoms & quality of life.ADE