Background: Tonsillitis is the third most frequently diagnosed case in pediatrics medicine arround the world. It cuases significant morbidity and loss of school work in children. The emergence of drug resistance in tonsillitis causing tonsillitis is getting higher every year as reproted by the new studies being done. Little is known about the prevalence and the resistance profiles of tonsillitis causing bacterial pathogens among children under the age of five at Hargeisa Group of Hospital.