It seems that people are more prepared to put up with recurrent tonsillitis than tonsil stones. It's the perception that they may have bad breath that makes it a socially isolating condition. Laser tonsillectomy under local anaesthetic spray is a very good way of eradicating this problem. The picture shows a tonsil stone sitting on the surface of the tonsil, with a large crack above it, where food enters but can't get back out. This is the cause of tonsil stones.