Introduction: A deviated nasal septum is an abnormal configuration of septal cartilage which may cause problems with breathing or nasal discharge. A septal deviation can be present at the time of birth or can be caused by an injury. Incidence of DNS in pediatric patients is 59%. Exact timing for septoplasty among children remains unclear at present, because nasal growth completion occurs up to the age of 16 years in males and 14 years in females. However, few centres have recently opted for an earlier age septoplasty when indicated only if it is considered that benefits are outweighing the risks. It is reported that Septoplasty surgery is successful in children. But this surgery must be conservative and must be restricted to pathologic area. Henceforth, this study is undertaken to compare the efficacy of septoplasty in pediatric age group who has nasal obstruction and poor quality of life. Aims: Study of Outcomes in children who underwent pediatric septoplasty in terms of nasal obstruction and Quality of life assessment through Nose scale score. Methodology: The data will be collected in the form of a questionnaire in terms of complete clinical history, clinical examination and necessary investigations of the patients. Detailed examination of the patient with an emphasis on anterior rhinoscopy findings will be done with the help of thudicum nasal speculum or tip test and headlight to see the status of turbinate. A preoperative diagnostic Nasal Endoscopy has been performed with 0 degrees and 30-degree scopes for cooperative patients. Computed Tomography of Paranasal sinuses (coronal) Plain has been added 0.6 or 0.7mmPlain. NOSE scale is used to assess postoperatively. A postoperative diagnostic nasal endoscopy has been performed with 0-degree and 30- degree scopes. Post operatively patients are followed at 6 weeks and 6 months interval to assess the symptoms. Randomization of the patients will be done by lottery methods. Chits will be given to the patients, and the patient is asked to select one chit to avoid bias for surgery. Results: Out of 30 patients, males were76.7% and females were 23.3%. The current study reveals significant differences in post operative NOSE score and VAS score when compared to pre operative scores. This comparison was done using Wilcoxon test which showed considerable improvement in NOSE score and VAS score with signifance<0.001. In the study synechia, infection following crust formation and residual deviation were the common complications. Conclusion: It is justified that septoplasty in the pediatric age group shows significant improvement in quality of life and the low complication rate, even if considerable cartilage work was done.