Chronic rhinosinusitis: experiences with surgery or biologics after first-line failu

[Anthony_G]

I've been dealing with chronic rhinosinusitis for over a year, with constant facial pressure and nasal congestion that antibiotics and standard steroid sprays haven't resolved. My ENT is now discussing more aggressive options like sinus surgery or biologic medications, but I'm hesitant about the invasiveness and cost. For others who have navigated this condition beyond first-line treatments, what was your experience with either surgical intervention or newer biologic therapies in terms of long-term symptom relief, and did you find any specific irrigation routines or environmental controls that provided significant improvement beforehand?