Tonsillectomy is a common pediatric surgery associated with significant postoperative pain. Various surgical methods, including cold knife, electrocautery, coblation, harmonic scalpel, and laser, are associated with different levels of postoperative pain and risks of bleeding. Adjuvant therapies like perioperative steroids, local anesthetics, and postoperative antibiotics may help reduce postoperative pain and recovery time. Postoperative pain is typically managed with medications like paracetamol, NSAIDs, and opioids, though opioids increase risks of nausea and respiratory issues. Codeine is no longer recommended after tonsillectomy due to risks of respiratory depression.