Juvenile nasopharyngeal angiofibroma (JNA) is a benign but aggressively expansile lesion that occurs exclusively in prepubescent or pubescent males. Its incidence is approximately 0.05% to 0.5% of head and neck tumors,112 so every otolaryngologist will have the occasion to encounter this highly vascular tumor. Of note is its serious complication of massive bleeding, which may occur preoperatively or perioperatively. Although radiation therapy, hormone therapy, cryotherapy, electrocoagulation, sclerosis, and chemotherapy have been tried with variable success, transarterial embolization (TAE) followed by surgical excision has become the most frequent method of treatment. The typical JNA approaches without intracranial invasion include lateral rhinotomy, transpalatal, sublabial degloving, tramszygomatic, or a combination of these technical approaches.3 With the advent of superior diagnostic imaging modalities, therapeutic embolization, and the prevalent use of the endoscope, new approaches can be used. This article reports a new experience in managing a case of JNA via a transnasal endoscopic approach.