Recurrent acute tonsillitis, peritonsillar infections and quinsy (peritonsi
llar abscess) are common clinical conditions that present to a general prac
titioner. Management in general practice and in hospital is confounded by a
pparently conflicting treatment options in the medical literature. We have
developed clear guidelines as part of an ongoing audit cycle which include
performing quinsy or 'hot' tonsillectomy in selected cases, alongside conse
rvative treatments to ensure the speedy recovery and minimal hospitalisatio
n of all patients, with resultant cost benefits.