Qian ZJ, Alyono JC, Jin MC, et al. - In the present study, the researchers sought to investigate national trends in post-tonsillectomy pain management to identify areas for improvement. They use a national private insurance claims database covering a 9-year period (2009–2017) to extract dosage information from outpatient opioid fills. Cross‐sectional analysis utilizing 2009–2017 Optum claims data to identify opioid‐naïve children aged 1 to 18 years with claims codes for tonsillectomy (n = 82,842). Using regression analyses, demographic, clinical, and socioeconomic predictors of opioid fill rate and quantity were determined. Although the number of children receiving post‐tonsillectomy opioids declined during 2009–2017, prescribed quantities remain high and did not decrease over time. Prescription patterns have also been affected by clinical and sociodemographic factors. Such outcomes highlight the need for guidance, especially with regard to opioid quantity, in children after tonsillectomy.