This prospective study was conducted in ENT department at Lahore General Hospital Lahore with objectives to evaluate the patients for various etiological factors and to study the effects of various treatment modalities. The most common cause of epistaxis was trauma and bleeding usually stopped by conservative measures. The most common medical condition associated with epistaxis was hypertension, which responded well to medical treatment. Nonsurgical treatment was effective in majority of our patients; surgical treatment was considered in cases of failure of non-surgical methods.

A variety of surgical procedures in otolaryngology are treated as day case surgery. The patients are screened and selected before giving an appointment for certain surgical procedures. There are well-established criterions for suitability of day case surgery. In this study 500 patients were interviewed to see the suitability for day case surgery. A Combination of domestic problems, anesthesia problems, and inability to co-op with day case surgery criterion are discussed. Design: It is s prospective study. Place and duration of study: This study was conducted at ENT Department of Lahore General Hospital Lahore. From January 2000 to June 2002. Subjects & Methods: A Performs was filled after interviewing the patients to see the suitability for day case surgery. The problems of patients, who were unable to fulfill the criteria, are discussed in detail. Results: This study proves that more than 85% of patients are not suitable for day case surgery in our setup. Conclusion: Day case surgery is not feasible in patients coming from rural areas.