ObjectiveAs a kind of selective vidian neurectomy, endoscopic posterior neurectomy avoids the removal of vidian nerve trunk, and retains the parasympathetic nerve fibers that control the secretion of lacrimal gland and the great palatine nerve that innervates the sensory mucosa of the upper palate. While achieving good efficacy, it can reduce the incidence of complications such as disturbed lacrimal secretion and sensory disorders of the cheek and gum.At present, some scholars advocate cutting off the posterior nasal nerve to replace the vidian nerve for the treatment of refractory allergic rhinitis and intractable vasomotor rhinitis under nasal endoscope. This review focuses on the recent progress of nasal endoscopic posterior neurotomy.