After induction of anesthesia and endotracheal intubation by the anesthesia colleagues, repositioning of the patient for TE on the right side: grasping the tonsil with the tonsil forceps and dislocation from the tonsil bed. Make a small incision on the anterior palatal arch to locate the capsule and carefully cut through the tissue to the capsule. Then careful dissection using the dissection technique and dissection of the tonsil up to the lower tonsil pole. Subsequently, careful bipolar coagulation of the lower tonsil pole and dissection of the tissue. Insertion of 2 hydrogen swabs and turning to the left side: Here you can see a pronounced tonsil hyperplasia, which is irregular and could be suspicious of a tumor. After demonstration of the findings to <CLINICIAN_NAME>, the same procedure with the dissection technique. Locate the capsule while protecting the anterior palatal arch and dislocate the tonsil with the tonsil forceps. Difficult preparation conditions here. The tonsil is firmly fused to the palatal arch and massively scarred. Dissection is bloody and the capsule is not easy to find. Dissection up to the lower tonsil pole with difficulty and separation of the tissue after careful bipolar coagulation. Subsequently, salvage of residual tissue at the upper and lower tonsil pole with the raspa and careful hemostasis. Insertion of 2 hydrogen swabs and loosening of the oral retractor. After 5 minutes and if the mucosa is dry and there is no further bleeding, the procedure is completed.