Sinus disease is a huge public health burden affecting millions of Americans and costing billions of dollars a year. The vast majority of sinus problems can be treated medically. However when sinus disease is refractory to medications, or related to anatomic issues it may be amenable to endoscopic sinus surgery. During the operation the surgeon uses an endoscope and works entirely inside the nose to make the natural openings to the sinuses bigger. Not infrequently patients with sinus disease also have other structural nasal problems such as a deviated septum, enlarged turbinates or even structural instability of the nasal cartilages that can be addressed at the same time. Dr. Wolpoe has 15 years of experience dealing with sinus and nasal issues and can offer expert advice about whether sinus or other nasal surgeries would help you.