Leu GR, Links AR, Ryan MA, et al. - In this observational cohort study, researchers identified predictors of parent choice predisposition for surgical treatment of obstructive sleep-disordered breathing (OSDB) with tonsillectomy and described its association with parent–clinician communication. This investigation was carried out at 3 outpatient clinical sites (urban-based outpatient center, suburban off-site outpatient center, and community-based medical center) associated with a large academic center. In total, 52 parent participants were involved in the final analysis. Many parents were predisposed to choose tonsillectomy treatment prior to initial surgical consultation in this cohort study of parents of children with OSDB, which may decrease engagement and influence 2-way communication. More predisposition to tonsillectomy was found in this cohort in non-Hispanic White parents and parents of patients who had previously been tested for OSDB by a pediatrician. Understanding parent preference predisposition for surgery may encourage better communication and parental involvement during surgery. It can also help direct education to nonsurgical forums on sleep and tonsillectomy.