Abstract A case of Inverted Papilloma in a 30-year old male initially presenting with a unilateral nasal obstruction. Endoscopic examination revealed bilateral exophytic fleshy mass with attachments to the turbinates. Surgical resection of the intranasal mass from its attachments was done and was submitted for histopathologic analysis. Final biopsy result from bilateral intranasal masses revealed slides showing squamous metaplastic changes to transitional epithelium pushed deep within their underlying connective tissue stroma, classic for inverted papilloma. This report highlights the case of bilateral inverted papilloma. This also shows the importance of meticulous pre-operative and intraoperative examination, possibly saving this patient from an aggressive recurrence of the disease.