Pathogens, gram positive bacteria, gram negative bacteria Background: Tonsillitis is considered common clinical condition in children and adults and usually treated under ENT practice. Inflammation of tonsils occurs due to many factors and this condition is called tonsillitis. This is common disease in our area and its treatment is not based upon culture reports. Physicians make choice of antibiotics on the basis of the condition of patient. Patients with multiple attacks of tonsillitis get resistance to medications due to the production of β-lactamase . The chronic tonsillitis can become cause of surgery for children and even in adults. The purpose of the study is to analyze the tonsillitis conditions and to create awareness among the patients in order to avoid unnecessary surgical procedures. Key words: Chronic tonsillitis, culture reports, acute tonsillitis, clinical study, pathogens, bacteriological study