Inferior turbinate is an elongated, scroll like paired structure of the lateral nasal wall which consists of a central layer of bone and a mucosal layer of either side1.Chronic nasal obstruction secondary to hypertrophied inferior turbinate is one of the most common problems seen in Rhinology and significantly affects day-to-day activities of the patients2. Anterior rhinoscopy examination in chronic hypertrophic rhinitis shows hypertrophy of turbinates and maximum changes are seen in the inferior turbinates.3. A 54-year-old-male reported to outpatient department of ENT, sri Dharmasthala Manjunatheshwara college and hospital, Hassan with complaints of nasal blockage, difficulty in nasal breathing and loss of sleep since 6 to 7 years. patient also complained of sneezing and nasal discharge on and off since 3 to 4 years. Anterior rhinoscopy showed right compensatory inferior turbinate hypertrophy secondary to left DNS and managed with ayurvedic intervention. Palasha Kshara Pratisarana over hypertrophied turbinates was done here. The treatment was effective in the present case with relief in his presenting complaints with the follow up period of 45days. This case report revealed that using Kshara karma (an ayurvedic para surgical procedure), the nasal blockage due to chronic inferior turbinate hypertrophy could be managed effectively.