Objective: To present our experience with an endoscopic technique for congenital choanal atresia transnasal repair without the use of intranasal stents. Methods: Ten patients with congenital choanal atresia (all were bilateral aged 7 days–15 months) were operated upon between September 2010 and December 2010, using an endoscopic choanoplasty technique where bony atresia including abnormally thickened vomer and pterygoid processes was removed until a widely patent ‘neo-uni-choana’ was created. No stents were used. All patients received prophylactic systemic antibiotics and local steroid-antibiotic intranasal drops for 1 week postoperatively. Parents were taught to irrigate and clean both nasal cavities using frequent saline nasal drops and a suction pump device. Results: all cases were bilateral choanal atresia (BCA) patients, 7 (70%) were bony-membranous atresia and 3 (30%) were pure bony atresia. 5 patients had associated congenital anomalies. Operative time ranged from 40 to 75 min. Mean estimated intraoperative blood loss was 20 _ 45 cc. Patients were followed-up for periods ranging from 6 to 9 months. One case showed postoperative restenosis that was successfully managed by endoscopic revision surgery with good nasal breathing thereafter. Complications included alar collapse and mid nasal synachiae (1 case each), not interfering with nasal breathing, without further surgery needed up till now. Conclusions: Transnasal endoscopic repair for choanal atresia without intranasal stenting was found to be a safe and successful procedure that affords minimal blood loss, minimal complications with a high rate of success. Bilaterality, pure bony atresia, age of the patient, associated congenital anomalies and surgeon’s learning curve are predictive factors that might influence the outcome.