Is it normal for an adult to have tonsillitis five times in the last eight years?

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Having five times in these eight years is not much. Please send a photo of your throat. So that I can guide you further. There is no other alternative option for surgical removal. Antibiotics help a lot in acute attacks. Adults, as well as children, face the same negative effects. Doing tonsillectomy does not affect immunity.

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According to the photo (attachment removed to protect patient identity), your tonsils do not require surgical removal. You have a red fleshy tissue at the back of the throat. It can be lymphoid tissue as well as adenoid. If you have an acute attack, then you can take an antibiotic course. Regarding immunity, tonsils are simply lymph nodes. There are more than sixty to seventy lymph nodes distributed along the body. They are axillary, cervical, thoracic, abdominal, inguinal lymph nodes, and more. When the tonsils are removed, the remaining lymph nodes present in the body performs the immune function. It means that the body's immunity does not deteriorate due to tonsillectomy. It is a surgical operation done under general anesthesia. Like all surgeries, it also has its complications. The most dangerous complications of anesthesia are allergy to anesthesia and anesthesia overdose. The second dangerous complication is postoperative bleeding and it can be fatal especially in adults in cases of negligence or delayed surgical intervention even though the post bleeding is less after doing a new tonsillectomy technique. Tonsils play an important role in oropharyngeal immunity. When the tonsils become chronically inflamed, then you need surgical removal.

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Tonsillitis does not produce ulcers. But some scientists believe that they occur due to an autoimmune reaction.