Since the operation of submucous resection of the septum has been replaced by septoplasty, the indication for nasal surgery in children has increased. They may be divided into four categories, which by order of importance are: Re-establishment of nasal function (95%); severe nasal allergy provoked by deformity; psychological factors associated with deformities and cosmetic factors related to gross congenital deformities. Septoplasty must preserve three zones: Central zone, the anterior edge of the septum and supra-premaxillary region. Rhinoplasty is less dangerous than septoplasty in children. Surgery of the turbinates is often necessary in conjunction with the preceding operations. The authors present several examples of long term results (before and after puberty).