Preoperative planning is a very important step before rhinoplasty and septoplasty. After a thorough consultation, the approach to reach the nasal septum and nasal pyramid is planned. Then, the type of septal procedure should be planned in accordance with the condition of the nasal septum and the need for grafts. The position, strength, length, and condition of the caudal septum are noted. The profile, projection, and rotation are the three main parameters that the surgeon should decide on with the patient. The techniques and maneuvers for profile alignment, upper third, middle third, and lower third are planned. The turbinates should also be part of the surgical plan.