ABSTRACT    The recurrent tonsillitis can be the significance of weaknesses in immune system, the particular etiology of recurrent tonsillitis is not clear. Therefore aims of the study are to explore Nutritional status among school children with recurrent tonsillitis in Takht Bhai District Mardan Pakistan of aged 4 to 15 years. This observational, cross sectional study was conducted in Takht Bhai District Mardan from March 2023 to October 2023. In the current research work a total of 250 samples were isolated from school-going children. In which 75(30%) were found positive for nutritional deficiency. Among the all samples nutritional anemia was found more frequent 30(12%), leading by malnutrition 25(10%), moderate prevalence were shows by underweight 10(4%) and   stunting 8(3.2%) prevalence rate. while very low frequency was shows by wasting(2(0.8%) respectively. Out of 250 children the number of male was slightly higher than females. Nutritional Anemia and malnutrition were observed in the study population respectively. The prevalence of nutritional Anemia among the study population varied with age. Children of the 12–15 years group had a significantly high prevalence of nutritional Anemia compared with the lower age group. Although the prevalence of nutritional anemia was higher in both age groups and sexes, it was not significant. Nutritional Anemia prevalence was significantly higher among the school going children. The difference between the age groups as well as nutritional status remained significant as risk factors of nutritional anemia also the main relation. Over all ratio of underweight and stunting were found moderate among all ages and gender wise distribution of nutritional status. This study revealed that there were weak relations found between nutritional status and tonsillitis