Introduction: Tearing and recurrent chronic conjunctival discharge are the most frequent symptoms and signs of lacrimal pathway obstruction.Because conservative care is usually ineffective in chronic conditions, the definitive treatment for the condition is surgery in which the patency of the nasolacrimal pathway is restored. A dacryocystorhinostomy (DCR) is the creation of a fistula from the lacrimal sac into the nose. Present study is planned to evaluate the results of Endoscopic Endonasal DCR with or without silicon stent in patients with nasolacrimal duct obstruction at tertiary level health care center.