OBJECTIVE: To document the Clinical outcome of Day Case Adenoidectomy in Children in a Nigerian tertiary health Institution and a private Ear, Nose and Throat Consultant Cinic. METHODOLOGY: This is a prospective study of twenty eight children without any co-morbid condition operated for adenoidectomy between June 2002 and May 2004. The patients were admitted on the day of surgery and discharged within 12 hours post surgery. RESULT: A total number of 28 patients were operated for adenoidectomy. 16 children were treated as planned day cases and 12 were treated as inpatients. 50% of the patients were in the age group of 2-4 years. There were 12 males and 4 females with a M:F ratio of 3: 1. All the parents of the patients had access to cars and 75% resided within 30 minutes of travelling time from the hospital. CONCLUSION: Day case adenoidectomy is relatively safe and may prove advantageous considering long surgical waiting lists, preventing Hospital acquired infection and minimizing cost of hospitalization.