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Objectives/Hypothesis Tonsillectomy as a day-stay procedure remains controversial, although it is an established procedure in New Zealand. We reviewed our last 10 years' experience. Methods A prospective audit was used to determine unplanned conversion from day-stay to overnight hospital admission rates and the incidence of postoperative complications. Results There were 5,400 tonsillectomies performed over the 10-year study period (January 2004–January 2015); 71% as outpatients. The unplanned conversion rate to overnight stay was 0.4%. The median age of day-stay patients was 6.5 years (range 13 months–15 years) compared with those admitted for overnight stay (5 years; range 8 months–15 years). The primary postoperative bleed rate was 0.5% (confidence interval [CI] 0.3%–0.7%), and the combined primary and secondary posttonsillectomy bleed rate was 4.3% (CI 3.8%–5.0%). The rate of patients returning with postoperative complications within 1 month of surgery was 6.3% (CI 5.6%–7.0%). Conclusion Day-stay tonsillectomy in the pediatric population is safe when performed using the described guidelines in a facility with appropriate resources. Level of Evidence 4. Laryngoscope, 2016

Tonsillectomy as a day-stay procedure remains controversial, although it is an established procedure in New Zealand. We reviewed our last 10 years' experience.A prospective audit was used to determine unplanned conversion from day-stay to overnight hospital admission rates and the incidence of postoperative complications.There were 5,400 tonsillectomies performed over the 10-year study period (January 2004-January 2015); 71% as outpatients. The unplanned conversion rate to overnight stay was 0.4%. The median age of day-stay patients was 6.5 years (range 13 months-15 years) compared with those admitted for overnight stay (5 years; range 8 months-15 years). The primary postoperative bleed rate was 0.5% (confidence interval [CI] 0.3%-0.7%), and the combined primary and secondary posttonsillectomy bleed rate was 4.3% (CI 3.8%-5.0%). The rate of patients returning with postoperative complications within 1 month of surgery was 6.3% (CI 5.6%-7.0%).Day-stay tonsillectomy in the pediatric population is safe when performed using the described guidelines in a facility with appropriate resources.4. Laryngoscope, 126:E416-E420, 2016.