“…Since the genesis of the tonsillectomy procedure in the first millennia BC, there have been significant advances in surgical technique, but in the last 50 years postoperative care has remained relatively unchanged, with a primary emphasis on avoiding post‐tonsillectomy hemorrhage and controlling pain . The rate of primary hemorrhage in pediatric tonsillectomy patients has been reported to be between 1.1% and 3.4%, whereas hemorrhage that required treatment in the operating room is reported to be between 0.5% and 2.1%, and emergency department (ED) visits for either pain or dehydration have been reported to be between 7.6% and 13.3% . The costs of patient visits to the ED in these cases range from $1,104 to $1,737, and when averaged over all children undergoing adenotonsillectomy (including those who did visit the ED) adds, on average, $189 to each patient's care .…”