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OBJECTIVES Recent evidence suggests that children with mental health disorders are more likely to have postoperative complications. Our aim was to determine if mental health disorders affect postoperative complications after tonsillectomy with or without adenoidectomy (TA). SETTING Cross-sectional analysis of national databases. SUBJECTS AND METHODS The 2006 to 2016 Kids Inpatient Database and the 2014 Nationwide Readmission Database were used to identify children (age less then 21 years) who underwent TA. We compared children