Sinus surgery – costs and treatment

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Private sinus surgery at a glance

  • Waiting time: 4-6 weeks
  • Cost: £4,199
  • Ways to pay: self-pay, via insurance, or payment plan
  • Procedure time: 90-150 minutes

On this page:

Private sinus surgery at Practice Plus Group typically has a 4–6 week wait and is mainly performed as Functional Endoscopic Sinus Surgery (FESS). This is a minimally invasive procedure used to treat chronic sinusitis, nasal polyps, and persistent sinus problems that haven’t improved with medication.

This page explains who may benefit from sinus surgery, the procedure, recovery timeline, risks, costs, and how surgery can improve breathing, sinus drainage, sleep, and quality of life while often requiring ongoing aftercare and symptom management.

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    Private sinus surgery costs and locations

    Sinus surgery waiting times

    At Practice Plus Group, the average private surgery waiting time for ENT treatment is approximately 4–6 weeks.

    NHS waiting times for sinus surgery can vary depending on local demand, consultant availability, diagnostic requirements and clinical priority. Patients need CT scans, nasal endoscopy, and potentially a trial of medical treatment before surgery is recommended.

    Private treatment can provide faster access to:

    • specialist ENT consultations
    • nasal endoscopy
    • CT scans and diagnostic imaging
    • surgery planning
    • treatment for nasal polyps and chronic sinus problems
    • clear aftercare advice and follow-up support.

    Why waiting times can vary

    The following reasons are relevant to the NHS. Private waiting times at Practice Plus Group are 4-6 weeks, regardless of treatment.

    • high demand for ENT services
    • availability of diagnostic imaging
    • consultant and theatre capacity
    • complexity of sinus disease
    • whether nasal polyps are present
    • whether symptoms affect breathing, sleep, or sense of smell.

    What is sinus surgery?

    Sinus surgery is a procedure to improve airflow and drainage through the nose and sinuses. It is commonly used to treat chronic sinusitis, nasal polyps, and ongoing sinus problems that have not improved with medication.

    The most common type of sinus operation is Functional Endoscopic Sinus Surgery (shortened as FESS). This is a minimally invasive procedure performed through the nostrils using a thin camera called an endoscope. Your surgeon uses the endoscope to see inside the nose and sinuses and remove blocked, swollen, or inflamed sinus tissue.

    The aim is to open the natural sinus drainage pathways, reduce blockages, and help the sinuses function normally.

    What conditions can sinus surgery treat?

    Sinus surgery may be recommended for people with long-term or recurring sinus problems. It may be especially applicable for those with symptoms that persist despite treatment such as nasal steroid sprays, saline rinses, or antibiotics.

    Sinus surgery may help treat:

    • chronic sinusitis
    • recurrent sinus infections
    • nasal polyps
    • blocked sinuses
    • ongoing nasal congestion
    • facial pressure or pain linked to sinus disease
    • reduced sense of smell
    • sinus drainage problems
    • inflammation affecting the nose and sinuses.

    Who is sinus surgery for?

    Sinus surgery may be suitable for those with persistent symptoms that affect day-to-day life and don’t improve with non-surgical treatment.

    If you’re experiencing any of the following symptoms, it might be a good idea to book a consultation with a specialist ENT consultant:

    • long-term blocked nose
    • repeated sinus infections
    • facial pressure or sinus pain
    • thick nasal discharge
    • post-nasal drip
    • loss or reduction in sense of smell
    • nasal polyps
    • symptoms that return after stopping medication
    • ongoing sinus problems despite nasal steroid treatment.

    During your consultation, the specialist will assess your symptoms, discuss your medical history and diagnostic results before recommending surgery (if it’s needed).


    A word from our specialist:

    profile picture of Attila Juhasz

    “As an ENT surgeon for 30 years, I understand living with chronic sinus pain, pressure, and congestion can drain their daily energy. Not getting a proper sleep, night after night, for several years, will have detrimental impact on health and mood.”

    Attila Juhasz, Consultant ENT Surgeon, Practice Plus Group Hospital, Emersons Green


    Signs and symptoms: when to seek treatment

    You should consider speaking to an ENT specialist if sinus symptoms are persistent, recurring, or affecting your quality of life.

    Common symptoms include:

    • blocked nose
    • facial pain or pressure
    • headaches linked to sinus pressure
    • reduced sense of smell
    • runny nose
    • thick nasal mucus
    • post-nasal drip
    • cough caused by mucus irritation
    • snoring or disrupted sleep due to nasal blockage
    • symptoms that do not improve with usual treatment.

    When to seek urgent medical advice

    You should seek urgent medical advice if you experience:

    • sudden swelling around the eye
    • severe headache
    • high fever
    • confusion
    • stiff neck
    • double vision
    • changes to vision
    • heavy or persistent nosebleeds.

    These symptoms are uncommon but may indicate a more serious complication or infection.

    Sinus surgery types and treatments offered

    The following information sets out surgical and non-surgical treatments for sinus issues.

    Non-surgical treatment options

    Not everyone with sinus problems needs surgery. Your consultant may recommend non-surgical treatment first, especially if symptoms are mild or have not been fully investigated.

    Non-surgical treatment options may include:

    • nasal steroid sprays or drops
    • saline nasal rinses
    • antibiotics, where bacterial infection is suspected
    • allergy management
    • short courses of oral steroid medication in selected cases
    • lifestyle changes to reduce triggers
    • monitoring symptoms over time.

    If these treatments do not provide enough relief, surgery may be the best option for you.

    Functional Endoscopic Sinus Surgery (FESS)

    Functional endoscopic sinus surgery FESS is the main type of sinus surgery used to treat chronic sinusitis and nasal polyps.

    Who it’s for
    FESS may be recommended for patients with chronic or recurring sinus problems that have not improved. This could be despite taking medication or where CT scans show blocked or inflamed sinus drainage pathways.

    How it works
    Your surgeon inserts a thin camera called an endoscope into the nose. This allows them to see the sinus openings clearly. Small surgical instruments are then used to remove nasal polyps, clear inflamed sinus tissue, or widen the natural sinus drainage pathways.

    The procedure is performed through the nostrils, so there are usually no external cuts or visible scars.

    How long it takes
    Sinus surgery often takes between 90 – 150 minutes. This varies depending on the extent of the sinus disease and whether additional treatment is needed.

    Anaesthesia
    FESS is usually performed under general anaesthetic. This means you’ll be asleep during the operation.

    Hospital stay
    Most patients return home the same day as their procedure. In some cases, staying overnight may be recommended but this will depend on your medical history, the complexity of your surgery, and how you recover after the anaesthetic.

    Recovery time
    Many people take between 1-3 weeks off work after sinus surgery but it depends on the nature of your job. Recovery generally varies depending on the type of operation you have and the severity of your symptoms before surgery.

    Benefits of sinus surgery

    Sinus surgery may help:

    • improve sinus drainage
    • reduce nasal blockage
    • reduce facial pressure linked to sinus disease
    • improve breathing through the nose
    • treat nasal polyps
    • reduce the frequency of sinus infections
    • improve sense of smell in some patients
    • make nasal steroid sprays and rinses more effective after surgery
    • improve sleep and day-to-day comfort
    • support long-term management of chronic sinus problems.

    Sinus surgery is not always a permanent cure for chronic sinusitis, especially where inflammation or nasal polyps are ongoing. Some patients need continued nasal steroid treatment or saline rinses after surgery to help manage symptoms.


    A word from our ENT specialist:

    profile picture of Attila Juhasz

    “It is fantastic to hear from patients, how surgery changed their life for the better: When they have their first restful sleep after surgery or when they can feel the smell of coffee in the morning after years of not being able to do so.”

    Attila Juhasz, Consultant ENT Surgeon, Practice Plus Group Hospital, Emersons Green


    Risks and complications of sinus surgery

    As with any operation, sinus surgery carries risks. Your consultant will explain the benefits and possible complications before you decide whether to go ahead.

    Potential risks include:

    • bleeding from the nose
    • infection
    • pain or discomfort
    • crusting or dryness inside the nose
    • temporary or permanent change in sense of smell
    • ongoing or recurring sinus symptoms
    • scar tissue inside the nose
    • need for further treatment or revision surgery
    • reaction to anaesthetic.

    Rare complications can include:

    • damage to the eye area
    • double vision
    • changes to vision
    • leakage of fluid from around the brain
    • injury to surrounding structures.

    While these complications are rare, it’s important to fully understand them before proceeding with surgery.

    How risks are reduced

    Risks are reduced through:

    • consultant-led care
    • pre-operative assessment
    • nasal endoscopy and imaging where needed
    • CT scans to assess the sinus anatomy
    • modern endoscopic surgical techniques
    • clear post-operative guidance
    • follow-up appointments after surgery.

    When to seek urgent medical attention

    You should seek urgent medical advice if you experience:

    • heavy bleeding that does not settle
    • worsening pain or swelling
    • high temperature
    • clear watery fluid leaking from the nose
    • severe headache
    • neck stiffness
    • new double vision
    • reduced or blurred vision
    • shortness of breath or chest pain.

    What to expect before, during, and after surgery

    The following information details how you can prepare for your sinus surgery.

    Preparing for sinus surgery

    Before you get to the surgery stage, you’ll first need to have a consultation with an ENT specialist. This consultant will ask about your symptoms, discuss your medical history and any treatments you may have already tried.

    Based on this consultation, you may need:

    • nasal endoscopy
    • CT scans
    • allergy assessment
    • review of current medication
    • pre-operative assessment
    • blood tests, depending on your health and planned procedure.

    Practical preparation tips

    If you do need surgery, you may be advised to:

    • arrange transport home
    • arrange someone to stay with you after surgery
    • follow fasting instructions
    • discuss blood-thinning medication with your care team
    • stop smoking (if possible) to support healing
    • plan time off work (usually around 1-3 weeks)
    • avoid heavy lifting during early recovery
    • prepare saline rinses or sprays if advised by your consultant.

    How is sinus surgery performed?

    Sinus surgery is usually performed through the nostrils. Your surgeon uses an endoscope to see inside the nose and sinuses. Small instruments are then used to remove nasal polyps, clear blocked sinus tissue, or widen the sinus openings.

    The aim is to improve drainage and airflow while preserving as much healthy sinus tissue as possible.

    What happens after surgery?

    After surgery, you will wake up in the recovery room where your care team will monitor you as the anaesthetic wears off. You may feel blocked up, tired, or have some mild bleeding from the nose.

    Your care team will give you advice on:

    • pain relief
    • nose care
    • saline rinses
    • when you can start taking nasal steroid sprays
    • the activities to avoid
    • when to attend follow-up appointments
    • which symptoms need urgent medical advice.

    Many patients go home a few hours after surgery once the nursing team is satisfied it’s safe for them to do so.

    Sinus surgery recovery timeline

    The following details provide an overview of what the recovery process may look like. Please remember everyone recovers at different rates.

    First 24-48 hours

    • rest at home
    • mild bleeding or blood-stained discharge is common
    • your nose may feel blocked
    • sleep with your head slightly raised
    • take pain relief as advised
    • avoid hot drinks if they increase bleeding
    • do not drive after a general anaesthetic.

    First week

    • plan around 1-3 weeks off work
    • avoid blowing your nose, strenuous activity, and heavy lifting
    • use saline rinses or sprays as advised
    • attend follow-up appointments if arranged.

    Weeks 2-4

    • nasal blockage should gradually improve
    • crusting and discharge may continue while the nose heals
    • your consultant may advise restarting or continuing nasal steroid treatment
    • light activity can usually be increased gradually
    • avoid contact sports until cleared by your consultant.

    Longer-term recovery

    • symptoms may continue improving over several weeks
    • sense of smell may improve gradually, although results vary
    • some people need long-term nasal steroid sprays or rinses
    • follow-up care helps monitor healing and reduce the risk of symptoms returning.

    Your sinus surgery patient journey

    Wondering what the whole journey for sinus patients looks like? See below:

    1. Initial enquiry
    2. ENT consultation
    3. Nasal endoscopy and assessment
    4. CT scans or further tests if required
    5. Discussion of treatment options
    6. Pre-operative assessment
    7. Day of surgery
    8. Recovery room monitoring
    9. Same-day discharge in most cases
    10. Aftercare and follow-up appointments
    11. Ongoing sinus management if needed

    Private sinus surgery costs in the UK

    Private sinus surgery costs can vary depending on:

    • hospital location
    • consultant assessment
    • complexity of sinus condition
    • whether nasal polyps are present
    • whether additional nasal surgery is required
    • diagnostic tests such as nasal endoscopy or CT scans.

    At Practice Plus Group, sinus surgery (including FESS) costs start from £4,199 plus £145 for the consultation. Please note that if diagnostic tests are needed, these will be charged separately.

    What’s included?

    Your package includes:

    • your pre-operative assessment
    • anaesthetic
    • theatre costs
    • hospital stay
    • standard follow-up appointments.

    Your care team will confirm exactly what is included before treatment.

    Find ear, nose, and throat surgeons in the UK

    Looking for an ENT surgeon near you? Practice Plus Group provides private ENT treatment and surgery at selected hospitals and surgical centres, with fast access to experienced consultants and clear pricing.

    An ENT consultant can assess your nose and sinuses, arrange diagnostic tests if needed, and explain whether sinus surgery is the right treatment option for you.

    Why choose Practice Plus Group?

    • Consultant-led care
    • Shorter waiting times
    • Transparent pricing
    • Modern hospitals and surgical centres
    • CQC regulated services
    • Flexible payment options
    • Personalised support throughout treatment
    • High standards of cleanliness and infection control

    Practice Plus Group was the first provider to have all services rated “Good” or “Outstanding” by the CQC.

    Attila Juhasz

    Acknowledgements

    Mr Attila Juhasz is a specialist in ear, nose, and throat surgery taking a special interest in complex Functional Endoscopic Sinus Surgery and Dacryocystorhinostomy (DCR) operations. He graduated in Hungary where he also achieved a specialist degree in head and neck surgery (otorhinolaryngology). Before joining Practice Plus Group, Mr Juhasz worked at Greater Manchester Surgical Centre where he independently provided the ENT service. During this time, he was also Chairman of the Medical Advisory Committee for three years and Lead ENT Surgeon for three years.
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    James Wood, Content Specialist

    This article was co-written by Content Specialist, James Wood. Our Content Specialist, James, has been writing articles and blogs for Practice Plus Group since 2022. He has more than a decade of experience as a copywriter within a range of different backgrounds and works closely with medical professionals to deliver information that's easy-to-read and patient-focused. When he's not writing medical pieces, James is busy playing sports or pub quizzing.
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    Sinus surgery FAQs

    Not yet found the sinus surgery information you’re looking for? Our dedicated FAQs may be able to help!

    What is sinus surgery?

    Sinus surgery is an operation to improve drainage and airflow through the nose and sinuses. It is often used to treat chronic sinusitis, nasal polyps, or recurring sinus problems that have not improved with medication.

    What is functional endoscopic sinus surgery FESS?

    Functional endoscopic sinus surgery (FESS) is a minimally invasive type of sinus surgery performed through the nostrils. Your surgeon uses a thin camera called an endoscope to see inside the nose and remove or reshape blocked sinus tissue.

    How much does private sinus surgery cost?

    At Practice Plus Group, sinus surgery (including FESS) starts from £4,199. The final cost may vary depending on your location, diagnostic needs, and surgical complexity.

    How long is the waiting time for private sinus surgery?

    At Practice Plus Group, the average waiting time for private ENT treatment is 4–6 weeks.

    Will I need CT scans before sinus surgery?

    Some patients need CT scans before sinus surgery. This helps your consultant understand your sinus anatomy, identify blocked areas, and plan surgery safely.

    Is sinus surgery painful?

    You will not feel pain during the operation because anaesthetic is used. After surgery, you may have mild discomfort, a blocked feeling in the nose or some blood-stained discharge, which should improve as you recover.

    Will sinus surgery improve my sense of smell?

    Sinus surgery may improve the sense of smell for some patients, especially where nasal polyps or blocked sinuses are contributing to the problem. Results vary and your consultant can explain what is realistic for your symptoms.

    How long will I need off work after sinus surgery?

    Many people take around a week off work after sinus surgery but it depends on the nature of your job. You may need longer if your job involves heavy lifting, strenuous activity, or dusty environments.

    Can I exercise after sinus surgery?

    You should avoid strenuous exercise and heavy lifting during the early recovery period. Your consultant will advise when it is safe to return to normal activity.

    Will I need to stay overnight?

    Most sinus surgery patients go home the same day. Staying overnight may be needed in rare cases, depending on the complexity of surgery, your medical history, and how you recover after the anaesthetic.

    What are the risks of sinus surgery?

    Risks include bleeding, infection, ongoing symptoms, temporary changes to sense of smell, and the need for further treatment.

    Can sinus problems come back after surgery?

    Yes, sinus problems can return, especially if you have chronic inflammation, allergies or nasal polyps. Ongoing treatment such as nasal steroid sprays or saline rinses may be recommended after surgery.