Large, red tonsils like these are not normal and are likely to be causing quite a few symptoms. These range from chronic fatigue to tonsillitis, tonsil stones, bad breath, catarrh, sleep apnoea and snoring. To remove them completely is dangerous with a high bleeding risk, and very painful (NHS/dissection tonsillectomy). To shrink them right back by removing >90% using sequential intracapsular laser vapourisation under local anaesthetic spray is far nicer. Much less pain and rarely any blood loss at all.