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Background and Objectives:Tonsillectomy is one of the most comon surgical procedures in otolaryngologic field and it can be caried out under general anesthesia or local anesthesia. The author compared tonsillectomy under local anesthesia to general anesthesia with respect to operation, anesthesia and recovery time as well as satisfaction of the patients. Subjects and Method: (25 patients) and a general anesthesia group (25 patients). Parameters such as time spent for anesthesia, operation, recovery time, episodes of cautery, initiation of normal daily life including normal diet, pain, and complication were compared betwen the two groups. Paired student t-tests were used for statistical analysis. Results:Among other parameters, local tonsillectomy was superior in terms of saving time during anesthesia, operation, recovery as well as hospital course compared to tonsillectomy under differ betwen the two groups. Conclusion:The author fels that local tonsillectomy should be advocated not only for time saving during operation, anesthesia and recovery but also for the satisfaction or compliance of the patients. In these respects, it is sugested that more active training should be provided to surgeons during their residency on tonsillectomy under local anesthesia. (Korean J Otolaryngol 2002;45:714-8)