Aden tonsillectomy can cure pediatric obstructive sleep apnea (OSA) in 80 of children without rotundity but only 20 – 30 of children with rotundity. Despite this, there's a current lack of harmonious guidelines and practices around pediatric rotundity operation in otolaryngology. This study estimated the extent of comforting, referrals, confidence, and walls in addressing nonage rotundity in pediatric otolaryngology. A 20- question electronic check assessing pediatric rotundity practice patterns regarding sleep- disordered breathing (SDB) and OSA was distributed to all American Society of Pediatric Otolaryngology (ASPO) members. Descriptive statistics were performed. Pediatric otolaryngologists were compared using logistic retrogression models grounded on their practice type and frequence of comforting and referral of all ASPO members, 19.6(114/583) completed the check.