Postoperative xerostomia is a common complication that can cause adverse emotional reactions in patients and even inter-fere with speech,swallowing,and breathing functions,ultimately reducing the postoperative quality of life and satisfaction of patients.Therefore,postoperative xerostomia deserves attention.However,the underlying mechanism of postoperative xerostomia after tonsillectomy remains unclear,and current treatment alternatives are not efficient.This article focuses on summarizing the pathophysiology and prevention strategies of postoperative xerostomia after tonsillectomy to reduce its incidence by strengthening the knowledge on the intraoperative protection of mucous membranes,glands,and nerves around the tonsil and provides reference for the prevention and management of this condition in clinical practice.