A 38 year old woman presented with epistaxis and nasal blockage, examination revealed large polypi in right nasal fossa and small polypi on left side. There was broadening of the nose. She has had nasal polypi removed earlier as well. Large fleshy masses were removed from nose and maxillary antra. there was large nasal septal defect. Biopsy of the tissue done revealed chronic inflammatory cells with multinucleated Mikulicz cells as well. It is important to keep a condition like Rhinoscleroma in mind and every effort is needed to diagnose it. This patient was managed by Trimethoprin- Sulphamethoxazole.