Purpose of Review <p>The purpose of this review is to categorize and describe allergic and nonallergic causes, pathophysiology, subtypes, and treatment options for symptomatic nasal inflammation and rhinitis in general.</p> Recent Findings <p>Intranasal corticosteroids and antihistamines along with allergen immunotherapy are the standard of care for allergic rhinitis. While intranasal anticholinergics and corticosteroids are treatment options for non-allergic rhinitis. Both subtypes may benefit from surgical treatment with posterior nerve ablation/neurectomy and/or inferior turbinate reduction. Randomized control trials and meta-analyses on biologics and allergen extract adjuvants for allergic rhinitis, as well as capsaicin, acoustic resonance therapy, and inferior turbinate injection for nonallergic rhinitis are ongoing.</p> Summary <p>In patients with symptomatic nasal congestion and rhinorrhea, thorough history and allergy testing can often elucidate a cause for rhinitis. Various treatment options exist for allergic and non-allergic rhinitis patients with symptoms refractory to pharmacotherapy, including allergen immunotherapy, surgical procedures, and even non-medicated acoustic therapy.</p>