The president of the Italian panel for the management of pharyngotonsillitis in pediatric age asked to the working group to identify the 5 practices at major risk of inappropriateness. Each member of the task force identified 5 items, basing on the literature review. In a collegiate meeting the selected items were evaluated and submitted to a selection by vote, after comparison and elimination of the overlapping proposals. Once the consensus was reached on the final list of the 5 items, the recommendations were formulated.