 This study evaluated the success rate of endoscopic endonasal dacrocystohenostomy, DCR, and patients with chronic dacrocystitis. A total of 47 patients were included in this prospective cohort study with most being female, 87.2%. The main age of participants was 40.7 years old, ranging from 25 to 66 years old. The minimum follow-up period was 12 months with a main duration of 14.53 months. In all, 31 patients had lacrimal intubation during the procedure, while 16 did not. After six months, lacrimal tubes were removed in 15 patients. Overall, 46 patients, 97.9% experienced successful outcomes, with 37, 78.7% experiencing complete resolution of symptoms, 9, 19.1%, experiencing partial improvement, and 1, 2.1%, requiring a repeat surgery. Only one patient, 2.1%, experienced treatment failure. This article was authored by Aisha Jawad, Aisha Kauser, Saira Iftiker, and others. We are article.tv, links in the description below.