Purpose: To investigate whether children undergoing a tonsillectomy or adenotonsillectomy (AT) with Coblation? will experience less postoperative pain and return to a normal diet and a regular activity level sooner compared to the same procedure using electrocautery dissection. This may manifest less school and work missed by the child and caregiver, respectively. Materials and Methods: Seventy-four children between the ages 2-13 years with either obstructive sleep apnea or chronic tonsillitis were recruited at a single tertiary-care center from January 2011 to November 2012 and underwent an AT via electrocautery or Coblation?. Caregivers were given a ten-point Wong-Baker FACES pain scale and questions inquiring the degree of oral intake, activity level, and impact on both the child and caregiver in regards to missing work or school on postoperative days (POD) 0, 1, 2, 3, 5, 7, and 14. Results: Children in the Coblation? arm required less pain medications (p < 0.0022) and improved drinking subjectively (p < 0.0049) on POD 0. Subsequent results were not significantly different for any other day. Age- and gendered-controlled multivariate analysis revealed a statistically significant difference in pain medications administered (p < 0.0001) but not pain scores (p < 0.2115) between the two techniques, although this difference in medications is likely related to the results observed on POD 0. There was no incidence of postoperative hemorrhage in either group. Conclusions: While there was less pain medication administered and slightly improved oral intake of liquids on POD 0 for children in the Coblation? arm, there was no difference in subsequent postoperative outcome or hemorrhage rates.
 B. R. Maddern, “Electrosurgery for Tonsillectomy,” Laryngoscope, Vol. 112, No. S100, 2002, pp. 11-13.
 E. A. Magdy, S. Elwany, A. S. El-Daly, et al., “Coblation Tonsillectomy: A Prospective, Double-Blind, Randomized, Clinical and Histopathological Comparison with Dissection-Ligation, Monopolar Electrocautery and Laser Tonsillectomies,” The Journal of Laryngology & Otology, Vol. 122, No. 3, 2008, pp. 282-290.
 N. P. Parker and D. L. Walner, “Post-Operative Pain Following Coblation or Monopolar Electrocautery Tonsillectomy in Children: A Prospective, Single-Blinded, Randomised Comparison,” Clinical Otolaryngology, Vol. 36, No. 5, 2011, pp. 468-474.
 Y. L. Wilson, D. M. Merer and A. L. Moscatello, “Comparison of Three Common Tonsillectomy Techniques: A Prospective Randomized, Double-Blinded Clinical Study,” Laryngoscope, Vol. 119, No. 1, 2009, pp. 162-170.
 M. S. Timms and R. H. Temple, “Coblation Tonsillectomy: A Double-Blind Randomized Controlled Study,” The Journal of Laryngology & Otology, Vol. 116, No. 6, 2002, pp. 450-452.
 R. H. Temple and M. S. Timms, “Pediatric Coblation Tonsillectomy,” International Journal of Pediatric Otorhinolaryngology, Vol. 61, No. 3, 2001, pp. 195-198.
 K. E. Stoker, D. M. Don, D. R. Kang, et al., “Pediatric Total Tonsillectomy Using Coblation Compared to Conventional Electrosurgery: A Prospective, Controlled Single-Blind Study,” Otolaryngology—Head and Neck Surgery, Vol. 130, No. 6, 2004, pp. 666-675.
 K. W. Chang, “Randomized Controlled Trial of Coblation versus Electrocautery Tonsillectomy,” Otolaryngology— Head and Neck Surgery, Vol. 132, No. 2, 2005, pp. 273-280. http://dx.doi.org/10.1016/j.otohns.2004.11.002
 S. P. Parsons, S. R. Cordes and B. Comer, “Comparison of Posttonsillectomy Pain Using the Ultrasonic Scalpel, Coblator, and Electrocautery,” Otolaryngology—Head and Neck Surgery, Vol. 134, No. 1, 2006, pp. 106-113.
 S. Mitic, M. Tvinnereim, E. Lie and B. J. Saltyte, “A Pilot Randomized Controlled Trial of Coblation Tonsillectomy versus Dissection Tonsillectomy with Bipolar Diathermy Haemostasis,” Clinical Otolaryngology, Vol. 32, No. 4, 2007, pp. 261-267.
 L. Di Rienzo Businco and G. Coen Tirelli, “Paediatric Tonsillectomy: Radiofrequency-Based Plasma Dissection Compared to Cold Dissection with Sutures,” Acta Otorhinolaryngologica Italica, Vol. 28, No. 2, 2008, pp. 67-72.
 V. K. Paramasivan, S. V. Arumugam and M. Kameswaran, “Randomised Comparative Study of Adenotonsillectomy by Conventional and Coblation Method for Children with Obstructive Sleep Apnea,” International Journal of Pediatric Otorhinolaryngology, Vol. 76, No. 6, 2012, pp. 816-821.
 U. K. Shah, J. Galinkin, R. Chiavacci and M. Briggs, “Tonsillectomy by Means of Plasma-Mediated Ablation,” Otolaryngology—Head and Neck Surgery, Vol. 128, No. 6, 2002, pp. 672-676.
 N. L. Shapiro and N. Bhattacharyya, “Cold Dissection versus Coblation-Assisted Adenotonsillectomy in Children,” Laryngoscope, Vol. 117, No. 3, 2007, pp. 406-410.
 D. Parker, L. Howe, V. Unsworth and R. Hilliam, “A Randomized Controlled Trial to Compare Postoperative Pain in Children Undergoing Tonsillectomy Using Cold Steel Dissection with Bipolar Hemostasis versus Coblation Technique,” Clinical Otolaryngology, Vol. 34, No. 3, 2009, pp. 225-231.
 D. T. Jones, M. A. Kenna, J. Guidi, et al., “Comparison of Postoperative Pain in Pediatric Patients Undergoing Coblation Tonsillectomy versus Cautery Tonsillectomy,” Otolaryngology—Head and Neck Surgery, Vol. 144, No. 6, 201, pp. 972-7.
 A. P. Noon and S. Hargreaves, “Increased Post-Operative Hemorrhage Seen in Adult Coblation Tonsillectomy,” The Journal of Laryngology & Otology, Vol. 117, No. 9, 2003, pp. 704-706.
 A. Belloso, A. Chidambaram, P. Morar and M. S. Timms, “Coblation Tonsillectomy versus Dissection Tonsillectomy: postoperative Hemorrhage,” Laryngoscope, Vol. 113, No. 11, 2003, pp. 2010-2013.
 D. Lowe and J. van der Meulen, “National Prospective Tonsillectomy Audit. Tonsillectomy Technique as a Risk Factor for Postoperative Hemorrhage,” Lancet, Vol. 364, No. 9435, 2004, pp. 697-702.
 V. Divi and M. Benninger, “Postoperative Tonsillectomy Bleed: Coblation versus Noncoblation,” Laryngoscope, Vol. 115, No. 1, 2005, pp. 31-33.
 H. M. Myatt and R. A. Myatt, “The Development of a Pediatric Quality of Life Questionnaire to Measure Post-Operative Pain Following Tonsillectomy,” International Journal of Pediatric Otorhinolaryngology, Vol. 44, No. 2, 1998, pp. 115-123.
 M. Benninger and D. Walner, “Coblation: Improving Outcomes for Children Following Adenotonsillectomy,” Clinical Cornerstone, Vol. 9, Suppl. 1, 2007, pp. S13-23. http://dx.doi.org/10.1016/S1098-3597(07)80005-6