My ENT took one look at my enlarged tonsil and recommended that it be removed. The biopsy proved a cancer tumor and radition followed. My understanding is that a biopsy before a tonsilectomy has a risk of missing the tumor and giving a false reading. Your ENT should be questioned on why the tonsilectomy is or is not recommended in light of your other symptoms and medications. I would keep the appointment but schedule an appointment with an another ENT for a second opinion. The problem with the tonsil may very well be non-cancerous but a tonsilectomy could be the best option to correct the problem. My experience reinforced the advice from many others: do not assume anything, ask, ask and ask again, research on your own, learn as much as you can. This forum is a great resource.