Fifty patients were randomly divided into two equal groups. One group had endoscopic examination performed after conventional adenoidectomy while the other had the conventional curettage adenoidectomy only performed. There was significant difference in the rate of adenoid recurrence between both groups. After 6 months postoperatively, the endoscopic group showed recurrence in only 2 out of 25 patients (8%), while the conventional adenoidectomy group showed recurrence in 9 out of 25 patients (36%). P value showed significant difference between both groups (0.04). Endoscopic examination after conventional adenoidectomy is a safe and essential step for complete removal of the adenoid and hence reducing the recurrence rate.