The authors compared the improvement in nasal obstructive symptoms in two groups of patients. One group underwent septoplasty alone and the other septoplasty accompanied with compensatory turbinoplasty. They used the Nasal Obstruction Symptom Evaluation (NOSE)  and visual analog scale (VAS) questionnaires to evaluate the subjective sensation of nasal obstruction. Scores were taken preoperatively as well as in the postoperative visits. The symptomatic improvement was more pronounced in patients undergoing the combined procedure. A statistically significant difference was observed between two groups of patients in almost every follow-up visit. The authors suggest that all patients should undergo a turbinate reduction surgery along with septoplasty to achieve better results. This is still a debatable issue and I think that surgery should be tailored for each patient depending on the anatomical and functional findings.