epistaxis as one of the most common disease in the emergent situation or postnasal surgery. Management of epistaxis is often namely simple but some¬times cause serious situations which require hospitalization and surgical intervention. Nasal endoscopy is the essential tool for modern sinus surgery and also imperative for identifying bleeding point when nasal bleeding occurs. During recent 6 years, author employed the nasal endoscopy to manage nasal bleeding which require hospital admission and surgical intervention. Precise localization of the nasal bleeding was possible in 38/43 cases (88.4%). Mean days of hospital stay were 4 and there was no complication noted during routine follow up periods. The advantages of endoscopic manage¬ment of epistaxis are shorter hospital stay, less morbidity, no external wound, and useful modality that can be retried when initial therapeutic attempt fails.