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Keywords: complications; epidemiology; surgery; tonsillectomy EN complications epidemiology surgery tonsillectomy 1 3 3 01/01/21 20210101 NES 210101 Key Points Demographics of children having tonsillectomy are shifting, with increase in younger children and surgery in specialist hospitals; Complications in adults and children are increasing, with bleeding and readmission rates rising; Causes of the change in demographics and complications are not clear, and require further investigation; These changes have implication for service delivery; The consent process should accurately reflect real-world complications data. RISE IN COMPLICATION RATES FOR TONSILLECTOMY Is the rise in complication rates over such a short period of time real? Whilst we wait for more information on how to reduce complications, it is imperative that individual surgeons and departments are aware of their own complication rates when consenting patients for surgery, as well as local patient pathways. [Extracted from the article]