Rhinoplasty is one of the most common cos-metic surgery performed by the otorhi-nolaryngologists. The main indication for rhinoplasty is cosmetic or functional or both. In regard to paucity of research regarding pa-tient satisfaction after surgery, we have done this prospective clinical study in our hospital. 40 patients were included in the study from January 2012 to December 2012. Rhinoplasty Outcomes Evaluation (ROE) Questionnaire was applied to all the patients and evaluation of the satisfaction pre op and post opera-tively was assessed and the results were sta-tistically analysed. The age of the study group ranged from 20 yrs to 39 yrs with the mean age of 24.85 +/- 3.43 years. The average satisfaction mark of patients un-dergoing rhinoplasty in pre-operative state was 28.05 & post-operative it improved and reached to 67.91.The average satisfaction of female were 26.75 preoperatively reached to 63.68 postoperatively. The average satisfaction of male were 31.2 preoperatively reached upto 67.91 post operatively. The degree of the satis-faction pre and post operatively was compared using student t test and paired t test. It was 67.91 in males and 36.53 among females which was statistically significant (p < 0.05). Patient satisfaction is as important as technical aspects of rhinoplasty. Hence a novel attempt is made in this direction to assess and understand pa-tient expectations to achieve realistic goals in rhinoplasty.