Background: Several techniques for management of inferior turbinate hypertrophy have been described to date, but the turbinoplasty, outfracture, and bipolar cautery methods have been used frequently for the last three decades. This study aimed to study the effect of the turbinoplasty versus surface bipolar cauterization in management of inferior turbinate hypertrophy. Patients and Methods: This prospective cohort study included 20 patients with nasal obstruction due to hypertrophied inferior turbinates resistant to medical treatment for a period not less than six week. The study included 6 males and 14 females with a mean age of 22 (range 18-26 years). The study work was done in Otorhiriolaryngology Department in Zagazig University Hospitals in the period from Aug 2018 to Aug 2019. The first group include 10 patients underwent surface bipolar cauterization and second group include 10 patients underwent Surgical turbinoplasty for inferior turbinate. Results: The results of nasal symptoms score of the study showed that nasal obstruction and headache showed significant improvement in both groups post operatively with higher improvement in the turbinoplasty group. In addition, there was statistically significant difference in post-operative crusting between the two studied groups with better results in the turbinoplasy group. Conclusions: Inferior turbinate hypertrophy failing medical treatment can be improved by surface bipolar cauterization or endoscopic surgical turbinoplasty technique. Both techniques have many advantages and disadvantages. However, the turbinoplasty technique has favour of less crusting and earlier improvement in nasal obstruction than the surface bipolar cauterization technique.