Functional Endoscopic Sinus Surgery (FESS) Cost in Hyderabad, India – 2026 Guide

FESS costs may vary depending on the hospital, the extent of sinus disease, the number of sinuses treated, the surgical technique utilised, and the patient's overall health. Below is a detailed breakdown of the expenses associated with endoscopic sinus surgery:

Pre-Surgery Costs

• Consultation Fees: Charges for consultations with ENT specialists, depending on the specialist's expertise and hospital.
• Diagnostic Tests: Includes nasal endoscopy, blood tests, CT scan of the paranasal sinuses, and other investigations required to assess the sinus condition and plan surgery.
• Pre-Surgical Screening: Comprehensive health assessment, including anaesthesia evaluation and other tests required to confirm that the patient is fit for surgery.

FESS Costs

• Hospitalisation Charges: Room charges during pre-operative preparation and post-operative recovery. Day-care or short-stay admission may be possible for suitable patients.
• Surgical Procedure: Costs associated with FESS, including the ENT surgeon's fees, operation theatre charges, endoscopic equipment, specialised instruments, and other procedure-related expenses.
• Anaesthesia and Surgical Team Fees: Charges for general anaesthesia, anaesthesiologist, operation theatre staff, and the ENT surgical team involved in the procedure.
• Surgical Consumables: Additional costs may apply for nasal packing, haemostatic materials, specialised instruments, or other consumables used during surgery.

Post-Surgery Care Costs

• Recovery and Observation: Charges for post-operative monitoring and observation following FESS, depending on the patient's condition and extent of surgery.
• Hospital Stay: General hospitalisation expenses, if an overnight stay is required. Many suitable patients may be discharged on the same day.
• Medicines and Supportive Care: These may include pain medicines, nasal saline solutions, antibiotics when indicated, and other prescribed medications during recovery.
• Follow-Up Visits and Monitoring: Follow-up consultations, nasal endoscopy, nasal cleaning or debridement when required, and monitoring of sinus healing all contribute to the overall cost.

Note: This pricing structure helps patients and their family members to understand the major costs that are associated with FESS. At PACE Hospitals, Hyderabad, we provide detailed, personalised cost estimates based on the patient's sinus condition, CT findings, surgical requirements, and overall medical needs, supporting transparent treatment planning and comprehensive ENT care.

FESS is not required for every patient with sinus problems. It is usually recommended when chronic or recurrent sinus disease does not improve adequately with medicines or when blocked sinus drainage pathways require surgical treatment.

Common Conditions Indicating Need for FESS 

• Chronic Sinusitis: It is a long-lasting inflammation and blockage of the sinuses that continues despite appropriate medical treatment. FESS procedure opens blocked drainage pathways and improves sinus ventilation.
• Recurrent Sinus Infections: Patients who experience frequent sinus infections despite appropriate medical management may benefit from surgery to improve sinus drainage.
• Nasal Polyps: Large or persistent nasal polyps can block the nasal passages and sinus openings. FESS can remove these polyps and improve airflow and drainage.
• Fungal Sinusitis: Selected patients with fungal material or fungal infection within the sinuses may require FESS to clear the affected tissue and improve drainage.
• Blocked Sinus Drainage Pathways: Structural narrowing or blockage of the natural sinus openings can prevent normal mucus drainage and may require surgical correction.
• Sinus-Related Complications: In selected cases, severe sinus infection can spread to nearby areas and cause complications requiring urgent surgical treatment.
• Certain Sinus or Nasal Lesions: Some benign or other localised lesions affecting the sinuses may require endoscopic removal when they cause symptoms or cannot be adequately assessed or treated with medicines.

While FESS can be an effective treatment for chronic sinus conditions, it is not suitable or immediately recommended for every patient. Certain conditions may require medical treatment or stabilisation before surgery:

• Active or uncontrolled infection: A severe acute sinus infection may need to be treated before elective FESS is considered.
• Uncontrolled medical conditions: Serious heart, lung, bleeding, or other medical conditions may increase the risks associated with anaesthesia and surgery.
• Bleeding disorders: Patients with uncontrolled clotting problems or those taking certain blood-thinning medicines may need appropriate evaluation and management before surgery.
• Severe uncontrolled asthma or respiratory problems: These may need to be stabilised before undergoing general anaesthesia.
• Pregnancy: Elective FESS is generally postponed during pregnancy unless there is a strong medical reason for surgery.
• Conditions that can be managed effectively with medicines: Patients whose symptoms improve adequately with medications, nasal sprays, saline irrigation, or other treatments may not need surgery.

Assessment by an experienced ENT specialist is important to determine whether FESS is appropriate. A detailed evaluation, including nasal endoscopy, medical history, and CT scan of the sinuses when required, helps the doctor decide whether surgery is necessary and safe for the patient.

Surgeons perform different forms of FESS based on the sinuses affected, sinus disease severity, and the extent of blockage. The surgeon chooses the optimal procedure based on the patient's symptoms, exam, and imaging results.

• Maxillary Antrostomy: Opens the natural drainage pathway of the maxillary sinus to improve drainage and treat persistent disease.
• Anterior Ethmoidectomy: Removes diseased or blocked tissue from the front part of the ethmoid sinuses to improve sinus drainage.
• Posterior Ethmoidectomy: Opens the deeper ethmoid sinus cells when disease affects the back portion of the ethmoid sinuses.
• Frontal Sinusotomy: Opens the drainage pathway of the frontal sinus when blockage or chronic inflammation affects this area.
• Sphenoidotomy: Opens the sphenoid sinus to treat disease or blockage involving this deeper sinus.
• Comprehensive FESS: Combines procedures on multiple sinuses when chronic sinus disease affects several sinus groups.

After FESS, careful attention to recovery is essential for proper healing and maintaining clear sinus passages.

• It is advised to attend all scheduled follow-up appointments so the doctor can check healing and clear any crusting or mucus if required.
• It is recommended to use saline nasal rinses as instructed by the doctor to keep the nasal passages clean and support healing.
• It is advised to avoid blowing the nose forcefully, especially during the early recovery period.
• Patients should avoid heavy lifting, strenuous physical exercise, and bending forward until the doctor confirms that it is safe.
• It is recommended to take prescribed medicines, such as pain relievers, nasal sprays, or antibiotics, exactly as directed.
• It is advised to avoid smoking, alcohol, and exposure to dust, smoke, or other nasal irritants during recovery.
• Patients should sleep with the head slightly elevated to help reduce nasal swelling and congestion.
• Patients should contact the doctor immediately if they develop heavy or persistent nasal bleeding, high fever, severe headache, increasing facial swelling, vision changes, severe pain, or difficulty breathing.