Whether one side of the nose is often out of breath and requires surgery depends on the cause and the impact on the patient’s life and physiological function. If it is caused by chronic simple rhinitis, it does not have much impact on life and usually does not need surgery. However, if it is caused by deviated nasal septum, nasal polyps, etc., which cause serious impact on life and physiological function, and when the effect of conservative treatment is not good, it is often necessary to have surgical treatment. If this condition exists for a long time, it is generally considered to be caused by chronic simple rhinitis, and vasoconstrictor nasal drops can be used locally, such as furosemide nasal drops, ephedrine hydrochloride nasal drops, etc., and glucocorticosteroid nasal sprays, such as fluticasone propionate nasal spray, mometasone furoate nasal spray, etc., can be used at the same time. However, it can also be caused by a severely deviated septum or nasal polyps, and does not allow for conservative treatment, often requiring corrective surgery under nasal endoscopy or removal of the nasal polyps. If one side of the nose is often out of breath, you can go to the ENT department of the hospital to find out the cause and then take targeted treatment.