The adenoids are tissue organs located in our nasopharynx. Whether we need surgery after adenoid hypertrophy depends on two circumstances. The first is the degree of hypertrophy; if the adenoids are significantly enlarged, we might consider surgery. However, merely having enlarged adenoids is not enough; we need to see if the hypertrophy blocks the nasal cavity, obstructs our Eustachian tube, leads to adenoid facies, etc. If there are symptoms and secondary diseases, such hypertrophied adenoids, also known as adenoid hypertrophy, will necessitate surgery. If the adenoid hypertrophy is mild and presents no symptoms, we can temporarily observe without needing surgical intervention.