Endoscopic Sinus Surgery (FESS) Treatment in India

An Endoscopic Sinus Surgery (FESS) is a medical procedure used to diagnose, manage or treat conditions related to chronic rhinosinusitis. It is commonly recommended for patients experiencing chronic sinus inflammation, nasal polyps, or recurrent sinus infections not responding to medication and is considered one of the most effective approaches for long-term recovery and functional improvement.

Every year, India receives thousands of international patients from countries such as Ethiopia, Nigeria, the UAE, Oman and neighbouring Asian regions for advanced medical care, including Endoscopic Sinus Surgery (FESS). With experienced specialists, structured treatment programs and cost-effective medical care, India has become a preferred global destination.

India is a major centre for Endoscopic Sinus Surgery (FESS) due to experienced specialists, advanced diagnostics, regulated clinical protocols and cost-effective care pathways.

1. Indications for Endoscopic Sinus Surgery (FESS)

Endoscopic Sinus Surgery (FESS) may be recommended in the following situations:

• Chronic rhinosinusitis refractory to medical therapy
• Nasal polyps causing obstruction
• Fungal sinusitis or mucoceles
• Progressive symptoms not responding to medication
• Structural or functional abnormalities
• Advanced-stage disease
• Failure of previous treatment or procedures

2. Types of Endoscopic Sinus Surgery (FESS) in India

2.1 Basic FESS for Chronic Sinusitis

This procedure removes obstructed tissue and widens natural sinus drainage pathways. It is used for chronic inflammation.

2.2 FESS with Polypectomy

This involves the removal of nasal polyps during Endoscopic Sinus Surgery (FESS). It restores breathing and reduces obstruction.

2.3 Revision FESS

Performed when initial sinus surgery has not yielded desired results. It addresses persistent or recurrent issues.

2.4 Advanced or Minimally Invasive Procedures

Image-guided FESS uses real-time navigation for precise tissue removal. Balloon sinuplasty is often combined with FESS. It gently expands sinus openings.

3. Pre-Treatment Evaluation

Before performing Endoscopic Sinus Surgery (FESS), patients undergo a complete evaluation:

3.1 Laboratory Testing

• CBC
• Kidney/liver function tests
• Coagulation profile
• Disease-specific markers

3.2 Imaging Studies

• CT scan of the paranasal sinuses is essential.

3.3 Functional Assessment

• Cardiac evaluation
• Pulmonary evaluation
• Condition-specific functional scoring

3.4 Infection Screening

HIV, HBV, HCV, TB and other infections are screened.

4. Endoscopic Sinus Surgery (FESS) Procedure Overview

The procedure typically includes:

• Pre-operative planning
• Anesthesia assessment
• Endoscopic visualization and removal of obstructing tissue
• Monitoring vital parameters
• Completion and closure (for surgeries)
• Transfer to recovery or ICU

The exact steps depend on the type and complexity of Endoscopic Sinus Surgery (FESS).

5. Recovery & Post-Treatment Care

After Endoscopic Sinus Surgery (FESS), patients receive:

• Vital monitoring
• Pain management
• Medication protocol
• Nutrition and mobility guidance
• Scheduled follow-up visits
• Imaging and lab tests to evaluate progress

Recovery duration varies according to the type of Endoscopic Sinus Surgery (FESS).

6. Risks & Complications

6.1 Early Complications

• Bleeding
• Infection
• Procedure-specific risks

6.2 Late Complications

• Scarring (synechiae)
• Recurrence of symptoms
• Medication-related or structural complications

7. Success Rates of Endoscopic Sinus Surgery (FESS) in India

Success rates depend on the severity of chronic rhinosinusitis, the complexity of the procedure and the patient’s overall health.

• 1-year outcome: 85% – 95%
• 5-year outcome: 70% – 85%
• Improved functional recovery for most patients
• Lower complication rates in high-volume centres

8. Cost of Endoscopic Sinus Surgery (FESS) in Major Indian Cities (2025)

City-wise cost range for Endoscopic Sinus Surgery (FESS):

City	Cost Range (INR)
Delhi	₹80,000 – ₹1,80,000
Mumbai	₹90,000 – ₹2,00,000
Bangalore	₹85,000 – ₹1,90,000
Chennai	₹75,000 – ₹1,70,000
Hyderabad	₹70,000 – ₹1,60,000
Kolkata	₹60,000 – ₹1,40,000
Pune	₹70,000 – ₹1,55,000
Gurgaon	₹85,000 – ₹1,95,000

Costs vary due to procedure type, hospital category and specialist expertise.

9. India vs USA Cost Comparison

Component	Cost in India (USD)	Cost in USA (USD)
Pre-Procedure Evaluation	200 – 500	1,000 – 3,000
Standard Procedure	1,000 – 2,500	6,000 – 15,000
Advanced Procedure	2,000 – 4,000	10,000 – 25,000
Medications	50 – 200	300 – 1,000
Follow-Up Care	100 – 300	500 – 1,500

10. Condition-Wise Success & Treatment Options

Condition	Success Rate	Treatment Options
Chronic Sinusitis	85-90%	Endoscopic Sinus Surgery (FESS)
Nasal Polyps	75-85%	FESS with Polypectomy
Fungal Sinusitis	90-95%	FESS with Debridement

11. India vs Global Cost Comparison (USD)

Region	Cost (USD)
India	1,000 – 4,000
USA	6,000 – 25,000
UK	5,000 – 18,000
Canada	7,000 – 20,000
Turkey	2,500 – 8,000
Thailand	3,000 – 9,000
Middle East	4,000 – 12,000

12. International Patient Services

• Specialist consultations
• Remote medical report review
• Personalized cost estimate
• Medical visa support
• Assistance with accommodation
• Airport transfers
• Interpreter support
• Pre-treatment evaluation coordination
• Post-treatment follow-up planning
• Digital access to medical records

13. Required Documentation

• Identity proof
• Passport (for international patients)
• Medical reports
• Lab results
• Diagnostic images
• Treatment consent forms

14. Pre-Treatment Guidelines

• Complete all evaluations
• Avoid infections
• Follow medication instructions
• Follow fasting guidelines (if surgery)
• Disclose all ongoing medications

15. Post-Treatment Guidelines

• Follow prescribed medications
• Attend scheduled follow-ups
• Maintain hygiene
• Follow dietary recommendations
• Avoid strenuous activity until advised
• Monitor for warning signs or complications

16. Why India for Endoscopic Sinus Surgery (FESS)?

• High-volume specialist centres
• Internationally trained doctors
• Advanced diagnostics and technology
• Regulated treatment protocols
• Higher success rates in major centres
• Cost-effective medical care compared to Western countries

DivinHeal supports international patients in accessing reliable, well-guided and specialist-driven Endoscopic Sinus Surgery (FESS) treatment in India through safe and structured medical pathways.