The aim of this prospective study was to determine the suitability of
`direct listing' of patients for tonsillectomy by their General Practi
tioner. All General Practitioners were issued guidelines outlining the
indications and contraindications for direct listing. One hundred con
secutive patients, referred over a 6-month period, were screened by an
otolaryngologist. Thirty-three of these patients were referred inappr
opriately. The high rate of inappropriate referrals would suggest that
this is an unacceptable practice.