**1. Introduction**

Septoplasty is one of the most frequently operated procedures by rhinologists and facial plastic surgeons. It is performed mainly for reducing nasal obstruction, but it can also provide a better surgical approach in endoscopic sinus and skull base surgery and an easier access for postoperative treatment. The deviated septum can be cartilaginous, bony, or both. The septum can be curved, tilted, angulated, twisted, present with a formation of spurs, or a combination of these. Therefore, there is no a single "standard" or "routine" operation that can satisfy all variables and complexities of cases. Septoplasty is a reconstructive procedure tailor-made for individual cases. Understanding the anatomy and a thorough preoperative evaluation of all deviated sites will lead to a better surgical outcome.
