<p>Coblation is a new technology used in soft tissue surgery. This technique uses lower energies than standard bipolar diathermy. It does ablation at lower temperature which causes less damage to the surrounding tissues and also less post-operative pain. Microscope assisted tonsillectomy is a new surgical technique and established as a suitable and standard method of tonsillectomy. Microscope-assisted coblation tonsillectomy reduces the intra-operative and post-operative hemorrhage, post-operative pain and decrease the hospital stay, so that help in an early improvement of the patient. This technique is associated with less pain and quick return to normal diet and daily activity of the patient. This technique is an effective and safe technique for doing tonsillectomy. Surgeons can also operate with precision in enlarged and magnified view in microscope or endoscope assisted tonsillectomy. Moreover, this technique makes it easier to educate the students. The purpose of this review article is to discuss the principle, techniques, outcome, advantages and limitations of microscope assisted coblation tonsillectomy. </p>