 Pediatric patients who are undergoing a tonsillectomy at the Childrens hospital will be randomly assigned to one of three drug groups: 1 acetaminophen Tylenol administered pre-operatively and a low dose of anti-inflammatory drug dexamethasone administered intra-operatively; 2 acetaminophen Tylenol administered pre-operatively and a high dose of anti-inflammatory drug dexamethasone administered intra-operatively; 3 no acetaminophen Tylenol administered pre-operatively, low dose anti-inflammatory dexamethasone administered intra-operatively. The present study will evaluate differences in pain management and surgical complications across the three groups of drug regimens. Main study outcomes include: pain medication administration during surgery, use of pain killers at 1-week post-operation, subjective pain scores administered in the post-anesthesia care unit PACU and 1 week postoperation, fluid and food intake, and complication rates i.e. postoperative bleed rate. The hypothesis is that pain will be lowest in the group that received Tylenol and high-dose dexamethasone Group 2. 