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Tonsillectomy and septoplasty can easily be done simultaneously. They are both done under general anesthesia and each procedure takes approximately a half an hour to perform. There will be much more pain and discomfort from the tonsillectomy than the septoplasty.
Yes it is possible to do both surgeries simultaneously, especially if the tonsils are not very large and the patient does not have sleep apnea.
I do not advocate operating on both airways (oral and nasal) simultaneously. I recommend staging the procedures for safety sake. Good luck :)