Should I pursue balloon sinuplasty or sinus surgery for chronic sinusitis?

[NathanUT]

I've been dealing with chronic sinusitis for over two years, with constant facial pressure, congestion, and fatigue that antibiotics and nasal steroids only temporarily relieve. My ENT recently suggested I might be a candidate for balloon sinuplasty or endoscopic sinus surgery, but I'm terrified of the recovery and the possibility that it might not provide a lasting solution. I'm also wondering if underlying allergies or immune issues are being overlooked in favor of a procedural fix. For others who have pursued surgical options for chronic sinusitis treatment, what was your recovery experience like, and how long did it take to feel a significant improvement? Are there specific diagnostic tests or non-surgical approaches you wish you had exhausted before deciding on an operation?

[MilaJ]

Totally understand the fear. Balloon sinuplasty often has a quicker recovery than a full endoscopic sinus surgery, but results vary. Many people notice relief within a few weeks, but some still need meds or a second-look procedure down the line. It isn’t guaranteed to be a permanent fix, and polyps or persistent inflammation can complicate things.

[MilaQM]

Before committing, get comprehensive testing: CT scan to map obstructions, nasal endoscopy to see mucosa and polyps, and an allergy/immune workup if infections have been frequent. If recurrent sinus infections are part of it, an immunology check might be worth it. A multidisciplinary ENT/allergy/immunology approach can uncover triggers you don’t notice day to day.

[Ryan.M]

My personal path: I had balloon sinuplasty and saw moderate relief in a few weeks, but I still keep up with nasal rinses and intranasal steroids. If your surgeon talks about a more extensive ESS because of polyps or scarring, ask about staged approaches and the expected rehab time. Recovery varies from a few days to a few weeks depending on the extent.

[James72]

Non-surgical options that are worth trying first: daily nasal saline irrigation, topical nasal steroids, maybe a short course of antibiotics for a flare if there’s clear bacterial involvement, and avoiding triggers like smoke. Some people benefit from allergen avoidance or immunotherapy if allergies are driving inflammation. It’s not a guaranteed fix, but many find symptom relief and less urgent need for surgery.

[DonaldT]

Ask these questions: What exactly would improve with the procedure? Will I likely need a revision later? What’s the typical rehab like (duration, activity restrictions, return to work) and how will it impact daily life? What are the risks of adhesions/nostrils scarring? How will post-op care be managed and is there a plan if this doesn’t help?

[Frank.M]

If you’re comfortable, share what your imaging shows (polyps, obstructions) and whether you’ve had chronic infections, aspirin-exacerbated respiratory disease, or asthma. Those details can tilt the decision toward medical optimization vs surgical. You’re not alone—many people weigh these options carefully before moving forward.