bjective: This present article is a study with a view to compare the advantages and disadvantages of conventional adenoidectomy with that of endoscopic powered adenoidectomy with a microdebrider. Methods: A prospective randomized study conducted at a tertiary care teaching hospital. Fifty patients with symptoms pertaining to chronic adenoid hypertrophy and requiring adenoidectomy were chosen and divided into 2 groups of 25 each. Patients in group A underwent conventional curettage adenoidectomy and those in group B underwent endoscopic microdebrieder method. Outcomes measured were intra operative blood loss, completeness of removal, postoperative pain, intra operative and post-operative complications and recurrence of symptoms.