The reason adenoid hypertrophy requires surgical treatment is because it blocks the passage of our nasopharynx, leading to nasal congestion and snoring, affecting body and jawbone development, and even causing otitis media which can impair hearing. There is no absolute age requirement for adenoidectomy; surgery is an option if these complications are present. Clinically, we generally consider the size of the adenoid and whether it causes complications, along with the patient's actual age. Typically in our clinical practice, surgery is usually considered after the child is two and a half years old, as long as the symptoms and hypertrophy are present. It is important to understand that adenoid hypertrophy is quite common around the ages of 6 to 7 years, when the enlargement peaks, making adenoidectomy a common procedure for children of this age group.