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This lecture was given at the National Airways forum in May 2024. The intended audience is primary care physcians but anyone who has been told they have 'nasal polyps' might be interested. The "nasal polyps" that ENT surgoeons see and patients suffer from in "chronic" disease is not infective process. When the term "sinusitis" is used in the community, by patients and many doctors, there is the implication of "infection". Unfortunately, many mis-directed treatments then follow. In Australia, and in many parts of the world, we have many tools to manage the underlying process from immuotherapy to biologic/antibody therapies. No patient today should simply be having an operation for 'nasal polyps' without a discussion about how to manage the underlying process that formed them. Our website: https://sydneyentclinic.com/richard-h... Google Maps Place ID: https://g.page/NoseandSinus?share Google Scholar https://scholar.google.com/citations?... Facebook / profrjharvey Instagram / profrjharvey Publons https://publons.com/researcher/165508... Scopus https://www.scopus.com/authid/detail.... LinkedIn / richard-harvey-23799a29 Twitter / noseandsinus