Nasal septum deviation (NSD) is one of the most common diseases in Otolaryngology, mainly causes nasal obstruction, headache and epistaxis. Furthermore, NSD often causes other complications, which further aggravates the burden of patients in daily life. Currently, surgery is considered to be the most effective treatment to correct NSD. Recently, a variety of individualized modified surgical methods have been applied in clinical practice and obtained good response. In this article, the progress of nasal septum surgery is reviewed.