Aim:To analyze the clinical presentation, incidence, sexual distribution and management update of non malignant lesions of nose and para nasal sinuses. Materials and Methods:This is a prospective study between the time period 2017 to 2018 in a tertiary care hospital with total number of 280 patients .Age and sex distribution along with clinical presentation of benign lesions of nose and paranasal sinuses were studied. Clinical presentations with prior general examination along with ENT evaluation was done. Investigations , medical and surgical management with follow up carried out by the same surgeon. Results were analysed statistically. Results:Age prevalence for the benign lesions were more predominant in the younger age group (11-30 years).Males were more predominant than females. Incidence of nasal polyp was 35.71%, benign tumours 22.4%. Nasal obstruction (62.5%),nasal discharge(42.5%), nasal mass (42.5%) were the commonest clinical presentations.