Borgström A, et al. - In view of their previous randomized controlled trial (RCT) of children with obstructive sleep apnea (OSA) indicating adenotonsillectomy (ATE) and adenotonsillotomy (ATT) as not significantly different in improving nocturnal respiration and symptoms after one year, researchers presented this continuous report with the evaluation of postoperative morbidity concerning bleeding and pain. Randomization of 79 children (aged 2–6 years) with moderate to severe OSA, to either ATE (n = 40) or ATT (n = 39) was done. In line with previous comparative studies between ATT and ATE, results of this work revealed significantly less postoperative pain in one-third of the outcomes, and less bleeding among children operated with ATT in than ATE. However, as the differences in morbidity between the surgical methods were minor the clinical significance is uncertain. The results from this RCT affirm the findings from previous comparative studies between ATT and ATE. They observed significantly less postoperative pain in one-third of the outcomes, and less bleeding among children operated with ATT vs ATE. However, as the surgical methods showed only minor differences in morbidity the clinical significance is uncertain.