Abstract: The present study aimed to discuss the patient’s perspectives on recurrent epistaxis and post-operative synechia formation. Endoscopic SMR with spurectomy was performed after detailed evaluation of etiology and anatomical variations of the patient. The CT scan showed a mucosal thickening in left maxillary sinus and the bilateral inferior turbinates were hypertrophied. Following a successful surgical procedure with nasal packaging for two post-operative days, the patient developed synechia after 15 days and thus silicon splints were applied in both nostrils and kept for 7 days. The patient was reviewed regularly and after 1 month, his nasal obstruction had improved significantly with no further epistaxis. Endoscopic submucosal resection (SMR) is an easier and widely used method to correct the nasal deviation. However, the patient’s discomfort and distress in endoscopic SMR with spurectomy, nasal packaging and post-operative complications arises many questions from the patient’s perspectives.