The tonsils are two round lumps in the back of the throat that are part of the immune system and help defend against bacteria and viruses entering through the mouth or nose. Enlarged tonsils can cause obstructed breathing during sleep, nasal obstruction, poor sleep, snoring, and mouth breathing as well as behavioral issues like irritability, hyperactivity, and difficulty paying attention. Left untreated, tonsil issues can lead to slow growth, abnormal facial development, dental problems, and relapse following orthodontic treatment.