Aim: The presence of a mass in the nose and paranasal sinuses may appear to be a straightforward clinical issue, but it often presents a diagnostic challenge due to the wide range of possible underlying conditions. Hence; the present study was conducted for assessing the clinical and histopathological characteristics of various sinonasal masses (SNM) to aid clinicians in making an early and accurate diagnosis. Materials and methods: The present retrospective study was conducted on 50 patients diagnosed with sinonasal masses (SNM). Each patient underwent a comprehensive clinical assessment, including detailed history-taking covering age, sex, socioeconomic status, duration of symptoms, and presenting complaints. This was followed by a thorough clinical examination and necessary radiological investigations such as X-ray of the paranasal sinuses (PNS), computed tomography (CT) scans in both coronal and axial sections, and magnetic resonance imaging (MRI) when indicated.All patients underwent surgical excision of the sinonasal mass, and the excised tissue was sent for histopathological examination (HPE). The histopathological findings were then correlated with the clinical diagnosis to ensure accuracy and to aid in the final diagnosis. This multi-modal approach combining clinical, radiological, and pathological assessments ensured a comprehensive evaluation and management of each case. Data analysis was done using SSPS software. Results: Out of the total 50 patients included in the study, 23 were male, accounting for 46% of the cases, while 27 were female, comprising 54%. This indicates a slightly higher prevalence of sinonasal masses among females in the study population. The most commonly reported symptom among patients was anosmia or hyposmia, observed in 26% of cases, followed by nasal blockage in 24%. Epistaxis was present in 16% of patients, while headache and sneezing were each reported by 10% of the study group. Rhinorrhoea was noted in 8% of cases, otalgia in 4%, and diplopia was the least common symptom, seen in only 2% of the patients.Among the 50 cases studied, 48% were diagnosed with non-neoplastic lesions, making it the most common type. Benign lesions accounted for 34% of the cases, while malignant lesions were observed in 18% of the patients. Conclusion: The study underscores the crucial role of the operating surgeon in promoting awareness and correcting misconceptions about the signs and symptoms of sinonasal diseases. It also highlights that clinical examination usually correlates well with histopathological findings and stresses the importance of promptly sending all excised nasal tissues for histopathological evaluation to prevent future complications.