Fehrm J, Borgström A, Nerfeldt P, et al. - In their previous randomized controlled trial (RCT), researchers identified no differences in respiratory sleep parameters or quality of life on comparing adenotonsillectomy (ATE) with adenopharyngoplasty (APP) in children with severe obstructive sleep apnea (OSA). In the present work, they evaluated postoperative morbidity from this RCT. Eighty-three children (ATE = 47; APP = 36), 2–4 years of age, with an obstructive apnea–hypopnea index of ≥ 10 were enrolled in the RCT. Of these children, 64 (77%) filled and returned the logbook administered to report pain from the first until the tenth day after surgery and 65 (78%) answered the questionnaire assessing bleeding, infection, satisfaction with treatment, speech, and swallowing.  The results were in favor of ATE when considering postoperative morbidity and the results from the previous report suggested no advantages of APP. Hence, for managing young, otherwise healthy children with OSA, they recommend not using APP.