Although the septoplasty is considered as curable surgical procedure, by which the mal-ventilation disorders due to the deviated nasal septum can be sufficiently cured. In the same time, this surgical procedure may become unsafe operation that end with bad results, which cannot be tolerated by the surgeon as well as the patient. These unaccepted results may make the patient severely suffering and sometimes they become very difficult or even impossible to be treated.  In accordance, as it is observed throughout our long-term experience, the main aim of the most of the surgeons is the correction of the nasal septal deviation as much as possible despite of the unsafe as well as more aggressive technical steps that may be performed to achieve this aim. This can be applied as the cornerstone for the diagnosis of the main reason of the failed septoplasty with badly stigmatic postoperative results. Thus, we tried at our presentation to focus more and more on this commonly performed surgical procedure in rhinology. This will be through the highlighting of these associated problems via three parts of discussion. First, we tried to present and classify these major postoperative complications, then we gave the possible descriptions and explanations for the pathogenesis of these complications, and finally, according to our long-term experience and trials, we suggest certain methods and maneuvers to improve the outcomes of this important surgical procedure.