Pathologic, physiologic, and esthetic problems are considered in the patient desiring and needing septorhinoplasty. Usually there is a one stage operation. Unusual circumstances of age, or severe traumatic residuals, may occasionally be better corrected by a two stage operation. Occasional revision of a planned one stage operation is sometimes necessary. The variety of nasal deformities of congenital, developmental, and traumatic origin is multitudinous. Expertise in septorhinoplasty necessitates a methodology and planning of the surgery to bring the nose and face into good esthetic definition as well as satisfactory functional usefulness. Such techniques are described.