Purpose of Review <p>This review synthesizes current literature on pediatric septoplasty and rhinoplasty, focusing on indications, optimal timing, and surgical techniques. Emphasis is placed on safety and long-term outcomes related to nasal airway patency and facial growth.</p> Recent Findings <p>These procedures are considered safe in appropriately selected children, with increasing use in younger patients. However, long-term data on reconstruction stability, revision rates, and effects on facial development remain limited. Recent studies show that pediatric septoplasty does not significantly affect midfacial growth; however, revision rates are higher in children compared to adults undergoing nasal surgery.</p> Summary <p>Pediatric nasal surgery can be performed safely with minimal impact on growth. Early intervention may benefit children with severe obstruction, favoring endonasal procedures for younger patients and cautiously incorporating open septorhinoplasty techniques for older pediatric individuals. Higher revision rates and a lack of long-term follow-up highlight the need for ongoing research.</p>