Fees and procedure overview


Fees and procedure for tonsil stone removal 

Tonsil Stones surgery costs and tonsillotomy procedure summary

How much does it cost to get tonsil stones removed?

Laser Tonsillotomy (local anaesthetic)

  • Initial consultation, with endoscopy: £250 at HealthHub, more at private hospitals

  • 1st treatment including 1 post op follow up: £950

  • 2nd and 1 post op follow up: £750

  • 3rd treatment: £500


Procedure Summary
When do we recommend tonsil stone surgery?

Laser surgery is a highly effective method of dealing with persistent tonsil stones. There are two approaches to this:

  • Intracapsular laser vapourisation tonsillectomy is the gold standard, but this requires general anaesthesia, and is quite sore for a week post op (although patients usually eat normally)

  • Laser tonsillotomy


In most instances though we'd recommend a laser tonsillotomy - the tonsils are radically de-bulked using local anaesthetic spray only - no injections. Its a lunchtime procedure - patients go straight back to work.

Where would the surgery take place?

In most instances the surgery would take place at the The Hospital of St. John and St. Elizabeth in North London or Spire Roding Hospital in East London. Tonsillotomy can also be performed at HealthHub in South London.

Time between consultation and procedure

Times may vary, but we can typically perform the operation within 14 days of consultation.

Pre-operative information

The laser tonsillotomy operation takes place under local anaesthetic. Patients are required to not eat and drink in the 6 hours preceding the procedure, although clear water can be taken up to 3 hours pre-op. Patients are required to arrive at the Hospital at least two hours prior to their operation time slot.

Tonsil Stones Removal Procedure Duration

Tonsillotomy takes about 10 minutes. Patients are given a hot drink and biscuit once the numbness has worn off. They are free to go half an hour after the procedure.The procedure itself if performed sitting upright in a dental-type chair. The local anaesthetic spray wears off 10 minutes or so after the procedure has been completed. Intracapsular tonsillectomy takes 20 minutes, patients are kept for a minimum of 4 hours post op.

Post-operative information

Painkillers are not prescribed by the Hospital. Simple over-the-counter medication such as paracetamol or ibuprofen are all that is required with tonsillotomy. Intracapsular tonsillectomy requires diclofenac and codeine for a week. 

Is a follow up consultation required and does this cost extra?

A follow up consultation is required and included in the fees but usually no further meetings are required thereafter. This typically takes place around four weeks after the surgery. If you experience unexpected follow up issues thereafter we would initially speak with you on the phone. If required we would book an extra follow up consultation.

Need more information on laser tonsillectomy?

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© 2020 by Mike Dilkes ENT Laser Surgery

General Medical Council: 3096325

Mike Dilkes ENT Laser Surgery is a leading ENT surgery based in London. We specialise in laser surgery for treatment of a range of Ear, Nose & Throat issues including tonsillitis, tonsil stones, snoring, sleep apnoea, cancers, catarrh and allergies. Typical treatments include laser tonsillectomy, tonsillotomy, palatoplasty, septoplasty, turbinoplasty, turbinectomy, uvulectomy and turbinectomy. Principal Mike Dilkes is a leading ENT surgeon, with over 20 years of consultancy experience and around 5,000 ENT operations and procedures.