The advent of endoscopy has revolutionized rhinology and the traditional head light surgeries has been taken over by endoscopes. The aim of this study was to identify the nasal septal pathology, surgically correct the pathology and compare the efficacy, advantages, disadvantages and complications of endoscopic septoplasty over conventional septoplasy. 20 patients underwent conventional septoplasty and 20 underwent endoscopic septoplasty. Results were graded for subjective and objective improvement using NOSE score and Gertner Podochin plate respectively. Endoscopic septoplasty was found to be a safe and effective alternative to traditional head light technique.