The field of rhinology, a subspecialty of otolaryngology, has evolved in recent years, as has my own practice. Along with managing common sinus and nasal conditions, I now perform endoscopic transnasal skull base surgery. This type of procedure is usually performed by a team of otolaryngologists and neurosurgeons and offers a minimally invasive approach to the management of cerebrospinal fluid leaks and skull base lesions, such as pituitary tumors.