Operation is performed in the hospital by a specialist Ear Nose and Throat surgeon (Otolaryngologist). The operation is done through the patient's mouth, and the tongue is kept depressed with a surgical instrument called "Davis Gag" which keeps mouth open and the tongue depressed. During the procedure the surgeon removes the tonsils from the side of the throat by carefully scraping away using a special tweezers. Stitches during this procedure are very few to nil, as there are no cuts or incisions here. It usually lasts about 30-45 minutes. Tonsils are removed alone, though sometimes if found to be inflamed and infectious the adenoids are to be removed much in the same procedure using a using an instrument called "St Clair Thomson's Adenoid Curette". The operation then is called Adenotonsillectomy.