Hi,
My son had chronic fluid in his ears ("glue ear") and chronic stuffiness, green drippy nose for months. He was snoring and could only breath through his mouth. Nurses/doctors at pediatrician's office kept assuming he had cold after cold but that just didn't feel right to me. We finally visited an ENT and they did a scope .....revealed that he had enlarged adenoids. The enlarged adenoids were imparing his breathing (he was 50% blocked), preventing the fluid from draining in his ears, and were chronically infected (thus the never ending green nose). The ENT (Dr. Yoon at Children's in Denver) recommended tubes and removal of the adenoids. Long story short, it was the best decision ever. His improvement was instant and dramatic....and lasting. He had the surgery at 17 months and has rarely been sick since then...he just turned 4.
Your ENT will help you with the decision regarding tonsils and or adenoids. It is my understanding that removing the tonsils is a more difficult/painful surgery than just removing the adenoids. The ENT did not recommend removal of the tonsils for my son....I don't think they do that as often as they used to now that they are removing the adenoids. I am sure your ENT will do a scope, but if not, you may want to consider having that done before making your decision....that would give you some helpful diagnostic information. Even at 17 months, my son sat still and didn't flinch during the process....it's a quick procedure and your child is awake.
Our experience with the adenoidectomy was pretty good. My son was crabby for a few days....maybe 4 or 5 and I believe he was in some pain.... but it seemed manageable with Ibuprofen and after a few days he was back to himself. I wouldn't say it was any worse than having a kid with a bad cold. It was not fun to see him uncomfortable but it really was a relatively smooth recovery.
Again, I can't speak for the tonsil surgery, but with the adenoidectomy, your daughter will need some extra rest and cuddling, soft foods/shakes, and possibly some extra attention at night if she is uncomfortable after the surgery.... but that's about it.
I can't tell you enough about how glad I am that we did the adenoidectomy (and tubes)....my son was a different kid.
Good luck and I hope your ENT visit goes well.