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Most infections can be treated medically. But there are few unfortunate people in whom these infections tend to happen frequently, we call it as recurrent tonsillitis. And in some the tonsil tends to harbor the infection within the tissue itself causing chronic tonsillitis. These people with slightest of provocation like consumption of cold food, exposure to another person who is infected, weather change will tend to have chronic tonsillitis. These people will experience symptoms of infection frequently, also they have bad breadth, they notice foul smelling stone like material coming out of tonsils now and then. These are symptoms of chronic tonsillitis. In today's world tonsillitis is largely treated medically. Especially in those patients in whom infection occurs more than 4-5 times a year for 2 or 3 consecutive years, we do recommend surgery. People who have chronic tonsillitis we recommend surgery as an option for treatment and it would usually be a permanent solution.