We ended up doing this in separate surgeries because my son kept having anesthesia problems. After the tubes and adenoids, my son was up and running around by 5pm that night, it's actually not that big of a deal, the tonsils are the big deal. So my son had is tonsils out, he laid in the hospital bed for several hours eating Popsicles and I thought we would be good...not so much. When we got home he had gotten a new movie (he got several and I strongly suggest this since they need to stay a low key as possible, even if they don't normally watch tv, PS my son was 3.5 when we did the last surgery). I went up stairs to make his bed, he was watching the movie, I heard what I thought was the door, apparently he figured out how to unlock the dead bolt (1st time) and was on the front lawn strapping his bike helmet under the chin he just had surgery on and was going to ride his bike (this is less than 12 hrs after surgery). From then on, we let him play, I even let him go outside, but I tried to keep him calm and made him take breaks way more than I used to. The biggest thing was not letting them eat anything that isn't approved because that can tear the incision and cause bleeding. Now, in addition I should tell you my son has a pain deficit, things don't hurt him like they do most people, so his body can't tell him it needs to stop. Most kids will spend a day or 2 at least down because they hurt, which is their bodies way of recovering, but even if he doesn't, it can be just fine. I called the ENT and she was like, watch him and try not to let it get out of hand and he'll be fine and he is. And he finally is sleeping better and isn't constantly sick, I'm so glad we did it. Good luck!!