305FACTORS INFLUENCING PATIENT REFERRAL AND TONSILLECTOMY FOR RECURRENT PHARYNGOTONSILLITIS: A SECONDARY ANALYSIS OF RANDOMIZED CONTROLLED TRIALSThis study aimed to explore factors influencing patients' decisions to seek specialist care and undergo tonsillectomy for recurrent pharyngotonsillitis, focusing on patient and episode-related medical consultations for acute sore throats. A secondary analysis of two prior randomized controlled trials involved 312 adult patients who underwent tonsillectomy due to recurrent pharyngotonsillitis. Results indicated that patients with chronically infected tonsillitis and female gender were more likely to visit a physician, particularly if experiencing severe throat pain during acute sore throat episodes. These findings underscore the importance of considering multiple factors in patient referral and treatment decisions for recurrent pharyngotonsillitisSajeel@gmail.comResearch1122021Medical, Infection, Treatment, Throat, ENTDr Sajeel DoundeAssociate professor, Department of Otolaryngology, Viswabarathi Medical College & General Hospital, RT Nagar, Penchikalapadu, Kurnool, India