Death after tonsillectomy related to haemorrhage may not be preventable. But death due to apnoea is preventable. More considered management is needed since: 10 deaths occurred at home, 2 in PACU and 3 in wards within 24 hrs of operation. These children could be saved by proper monitoring during operation night. Be aware of marked opioid sensitivity; reduce the dose by 50%. Codeine is to be avoided; Use NSAID, Dexamethasone. Develop an improved safety net for these high-risk children. High-risk patient : Nurse = 2 : 1