We introduce anovel andpotentially effective approach in thetreatment oftonsil stones using Coblation technology. A retrospectivepilotcase series wasperformed demonstratingtheeffectiveness ofa technique thatwecall Coblation tonsil cryptolysis. This technique is unique in that it can be performed in adult patients without sedation using only local anesthesia, much like laser tonsil cryptolysis. As withlaser cryptolysis, pain issignificantfor onlyafew days andmostadults can resume normal dietandactivity within 1week. Incontrast, tonsillectomy entails significant morbidityforseveral weeks. However, Coblation avoids the significantdisadvantages oflaser use, includingthepotentialfor airwayfire, retinal damage from reflected scatter, dealing with plume from vaporized tissues, oral/facial burns, and the high cost of purchasing and maintaining laser equipment. Aftera single session ofCoblation tonsil cryptolysis, a significant decrease andeven elimination of tonsil stones can potentially beachieved.