Funny that this topic turned up... my brother just had his tonsils removed on Monday of this week because of the pockets and the problems that it was causing. So, actually, it might be necessary to remove your tonsils. My brother has had pockets in his tonsils for a couple of years now (they kept getting bigger). It caused all problems, including a very sore/burning throat. The food would get in there, start to 'decompose', turn hard, cause bad breath, irritation, infections, etc. When I spoke to his doctor (I had to take him to the hospital), she said that they absolutely needed to come out because they were so bad. He is older, so his recovery is going to be a little longer, but it needed to be done. His case got pretty bad over time. I suggest getting a good ENT and have them monitor the size/problems of your pockets.