@schnoz -

My apologies if my reply was confusing. Let me clarify.

Every ENT is a trained surgeon.
They address structural issues.
So by the time you are referred to an ENT, they are expecting that you should be open to having your structure assessed and analyzed.

Many ENTs are double board certified in Facial Plastic Surgery as any involvement of the nasal/sinus cavity involves the face. Most people don’t think in this way but it is. So much better if ever opting for any surgery through an ENT to make sure they are double board certified.

80% of people have a deviated septum. Most would never know unless they had someone put a scope in their nose or request a CT.

One recommended your deviated septum fixed -that’s structural.

Both recommended turbinectomy- that’s structural.

They are recommended you remove cartilage and delicate tissue off of your nasal structure. Hence structural.

Both recommended turbincetomy most likely because it is the easiest procedure. But there are many questions that come with this.
That must be asked of them. Both most likely use their own technique and tools that they are the most experienced in.
Different techniques cause more harm than others.

I will reiterate-there are a ton of other reasons why nasal tissue congests . Even acid reflux can back up into the nasal pharynx while sleeping and cause nasal tissue to swell.

Anyone ever mention Vitamin & Nutrients?
Vit A deficiency is known to cause dry nasal passages as well as Vit D.

Life style- are you constantly exposed to a dry environment?

Do you exercise regularly?

Do you avoid eating before bed?

Have you eliminated certain foods to see?

There is actually a new book out called:
Breath-The Science of a Lost Art

It’s helpful to understand how everything is connected and truly works together.