Sinusitis (FESS) Surgery in Pune
Endoscopic sinus drainage, no external cuts. A endoscopic approach with same-day discharge and a typical recovery of ~1 week. But surgery is the last step, not the first — start with a ent surgeon and rule out the simpler fixes.
How it works
You don't buy an operation here — you start with a doctor. Book a consultation first; Sinusitis (FESS) surgery happens only if a ent surgeon confirms you need it.
About chronic rhinosinusitis, with or without nasal polyps
Chronic rhinosinusitis is inflammation of the lining of the nose and paranasal sinuses lasting beyond twelve weeks. Swollen mucosa blocks the narrow drainage channels, mucus stagnates behind the blockage, and the inflammation feeds itself. The important point for treatment is that it is fundamentally an inflammatory disease rather than simply an infection — which is why repeated courses of antibiotics rarely fix it, and why medical therapy continues after surgery rather than stopping at it.
When is surgery actually needed?
Appropriate medical therapy comes first and does not stop afterwards: daily saline irrigation, an intranasal corticosteroid spray used with the correct technique for at least eight to twelve weeks, treatment of the underlying allergy, a targeted antibiotic course only where there is genuine infection, and in polyp disease a short oral steroid course or, in selected patients, a biologic. Surgery is considered when symptoms persist despite that trial, when a CT scan confirms obstructed sinuses that match the symptoms, for recurrent acute episodes, or for complications, fungal disease, or where tissue is needed for a diagnosis. The CT scan is mandatory — it is the surgeon's map of an area sitting directly beneath the eye and the base of the skull.
Why endoscopic, not open surgery
Functional endoscopic sinus surgery works entirely through the nostrils with rigid endoscopes — no external incision and no facial scar. The surgeon opens the natural drainage pathways of the affected sinuses, removes polyps and irreversibly diseased tissue, and deliberately preserves healthy mucosa and its cilia, which is what the word 'functional' means here. Image guidance is used for revision surgery or where landmarks are distorted. Septoplasty or turbinate reduction is often done in the same sitting when anatomy is part of the problem.
Your options for chronic rhinosinusitis, with or without nasal polyps
Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.
Our ent surgeon surgeons
Dr. Rohan Kapoor
Dr. Sanjay Kulkarni
Senior
Dr. Arjun Menon
Senior
Dr. Karan Malhotra
SeniorCost, EMI & insurance
Covered by insurance
Sinusitis (FESS) surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.
Your recovery timeline
Week by week after sinusitis (fess) surgery
Home the same day. The nose feels blocked and there is blood-tinged discharge — both expected.
Any packing or dressing is removed. Saline douching starts and becomes the mainstay of recovery.
Crusting and blockage often feel worse before they get better. This phase is normal and passes.
Endoscopic clean-outs in clinic as needed. Airflow and sense of smell improve progressively.
The cavity fully re-lines. Medical therapy continues — surgery opens the sinuses, medication is what keeps them open.
Risks, preparation & aftercare
Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.
Possible complications of sinusitis (fess) surgery
Before your procedure
A CT scan of the paranasal sinuses and an allergy assessment. Aspirin, NSAIDs and blood thinners stopped only on the prescriber's advice — and aspirin sensitivity is specifically relevant if you have polyps and asthma. Active infection is treated first. Nothing to eat for 6 hours and clear fluids up to 2 hours before. Arrange a week of light duties.
After you go home
Start saline irrigation as instructed and keep doing it — it does more for the result than anything else you control. Restart the steroid spray when told to. Do not blow your nose forcefully for one to two weeks, and sneeze with your mouth open. Avoid straining, very hot showers, swimming and flying as advised. Attend the clean-out visits. Report heavy bleeding, clear watery discharge from one nostril, visual change or severe headache urgently.
Frequently asked questions
Start with a conversation, not a commitment.
Book a ₹500 consultation with a ent surgeon — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.