The records of 1088 consecutive adenotonsillectomy patients at Butterworth Hospital's Same Day Stay Department were reviewed. Of 1088 patients, 1082 were discharged the same day. Only one of the 1082 discharged patients had a significant bleeding complication during the first postoperative night, and no patient had vomiting or dehydration problems. With the special combined efforts of the otolaryngologist, the anesthesiologist, the nurses, and the hospital administration, same-day-stay adenotonsillectomy is a justifiable and cost-effective procedure.