Young adulthood is notable for rapid physical changes and psychosocial 
instability. Care of the young adult professional voice requires knowledge of 
the specific anatomic and physiologic changes associated with the mutational 
voice, as well as the effects of general growth and maturation on the vocal 
mechanism. The effects of psychological stresses common to young adulthood, such 
as educational commitments and early career choices, must also be understood. 
Upper respiratory infection and allergies are common in this age group. 
Treatment of these conditions must be tailored in the professional voice user 
because of the potential side effects of some medications and the performance 
imperatives of the patient. Surgical indications for tonsillectomy in the young 
voice patient are discussed. There are no special considerations in the 
evaluation and treatment of laryngeal pathology in the young adult, with the 
exception of limiting the use of sedative anesthesia. However, conservatism in 
surgical decision-making is advised. The development of a stable, efficient 
vocal technique and a mature professional background requires time, patience, 
and hard work.