This patient complained of chronic left nose blockage causing mouth breathing and snoring. Examination showed a septal deviation (left side of picture) and an enlarged left inferior turbinate (right side of picture). Steroid sprays had not helped previously. The patient opted for laser turbinoplasty under local anaesthetic as a lunchtime procedure. Septal surgery in the form of septoplasty may also be required. The orange ring shows the narrow extent of the true nasal airway.