Whether surgery is recommended for a deviated septum depends on the patient’s specific condition. If there are no obvious symptoms, surgery is not necessary; if the symptoms are more obvious, affecting the normal physiological function, or the pre-surgery of certain surgeries, then surgery should be recommended. 1. No need for surgery: If the patient’s deviated nasal septum does not cause obvious symptoms such as nasal congestion, headache, runny nose, nosebleed, etc., and the deviation of nasal septum is only found during physical examination, which does not affect the patient’s daily life, then surgery is not recommended in this case. 2. Surgery is recommended: For persistent nasal congestion, repeated nosebleeds, reflex headache and sinusitis caused by deviated nasal septum, often after the ineffectiveness of standardized conservative treatment for chronic nasal inflammation, or due to deviated septum blocking the surgical field of view before open sinus surgery, surgical treatment is often required. Whether or not surgery is needed when a deviated septum is detected, it is recommended to actively seek medical attention to clarify the diagnosis and condition, and to be advised by a professional doctor.