Reconstructive surgery of the nasal barrier and pyramid are one of the most common operations in otorhinolaryngology. It is caused by common deformities with impact on function and aestethics of the nose. After a detailed anamnesis and a thorough clinical examination , based on the results of preoperative analysis and surgeon skill and experience to select one of the methods of reconstruction of the nasal septum and pyramid . How aesthetics and function of the nose is largely dependent on the location, size and shape of the nasal septum , so the most of reconstructive surgery in the nasal area is accounted for septoplasty . Many deformities of the nasal septum and pyramid can be solved with surgical method called septoplasty , but in the case of major congenital malformations , multiple fractures of the nasal septum and secondary operations the septorhinoplasty endonasal or external is performed. Perfection of surgical techniques and increasing experience of the surgeon , as growing knowledge of anatomy, statics and function of the nose and better postoperative care have lead to the point where the number of postoperative complications is greatly reduced and the quality of life has improved . Our study showed that in the period of 2008 – 2012 in Department of Otolaryngology and Head and Neck Surgery in University Hospital Sisters of Mercy a total of 1688 patients were operated with methods septoplasty and septorhinoplasty. Of the total number of operations , most of them are functional septoplasty , them 1244 , while the aesthetic - functional septorhinoplasty make 444 operations . Overall, there is an increasing trend in septoplasty and septorhinoplasty both worldwide and in the Department of Otolaryngology and Head and Neck Surgery of University Hospital Sisters of Mercy.