I totally sympathise about the outpatient experience, it is not always fair the way people shamelessly push in the line and it has an air of chaos about it. I too had a good experience of the surgical services here, a million times better than the UK. There, they will not remove tonsills at all anymore, unless the child's airway is occluded by the inflammation. Even though they suffer terrible pain, become resistant to anti biotics and miss numerous days of school the answer is always no, I worked in paediatric services just before coming here, it drove me mad. The reason, because it has a risk of complications and they do not want to be vulnerable to litigation for a "purely routine" (their words) op. Many parents I have met have opted to pay for it to be done privately, an equivilant cost of about 15,000-20,000 riyals. I hope your little one fells better soon, at least you get lots of ice cream!