One of the most exciting developments in oculoplastics has been theincreased use of endoscopic techniques for orbital and lacrimal surgery. Theoverlap between otolaryngology and ophthalmology does have historical roots,and endonasal surgery enhances this relationship. Nevertheless, orbital andlacrimal endoscopy are challenging to learn, and published reports as wellas personal communications reveal high variance in outcomes. Hence, many oculoplasticsurgeons are frustrated with suboptimal results and time-consuming learningcurves. And the overlap with otolaryngology may be difficult to manage, especiallyin a private practice setting.