OBJECTIVE: To present a case report and surgical management. Clinical case: male patient 48 years old with under 2 years of development of bilateral nasal obstruction, purulent rhinorrhea with at times, appointment, where he finds bilateral nasal tumor, is performed with intravenous contrast tomography where no notes uptake by the same tumor, it proceeds to remove the tumor endoscopicaly on a bilateral basis with the commitment of all paranasal sinus return of pathology: bilateral inverted papillome without atypia. Currently patients with improvement without recurrence. CONCLUSION: The possibility that the inverted papillome affecting the nasal cavities bilaterally makes this clinical case is presented, and is of importance, especially in the post-surgery because, despite being a benign tumor is very aggressive.