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Nasal obstruction may be caused by individual anatomy, a dysregulation of the nasal mucosa or, frequently, a combination of both. Persistent allergic inflammation deserves special attention, as initial therapy should not be surgical. The plethora of surgical techniques for the reduction of inferior turbinate volume is a good indicator of unresolved controversies regarding the ideal technique. This review analyses our current knowledge about success and complication rates of different surgical techniques. Many of these techniques have a distinct pro and contra-profile which is acceptable for both the patient and the surgeon. This is a good starting point for randomised clinical trials. The definition of the anterior turbinoplasty as a gold-standard for future trials is proposed.