Nasal obstruction can be caused by internal and external valve problems that can be observed before and after rhinoplasty. The main scope of this chapter is to discuss surgical solutions to these problems. To overcome nasal obstruction at the internal valve, spreader grafts, spreader flaps, upper lateral splay grafts, butterfly grafts, flaring sutures, M-plasty, Z-plasty, and suspension sutures have been described. Management of external valve problems is possible using lateral crural dissection and repositioning, lateral crural strut grafts, alar battens, lateral crural flaps, alar rim grafts, and various other methods. After a thorough examination and analysis, the underlying cause of the nasal obstruction can be revealed, and one or multiple procedures can be chosen according to each individual problem and the surgeon’s expertise.