Nasal abscesses of the tip or soft tissues are uncommon in children. We describe an endonasal surgical approach for nasal abscesses based on our experience with 3 children at our tertiary care, academic children's hospital. All presented with significant nasal pain out of proportion to the physical examination findings, along with edema, induration, and some intermittent bleeding and discharge of sebaceous and/or keratinous debris. Parenteral antibiotics were administered for an initial period of at least 24 hours in all cases, without any significant improvement in the patients' symptoms. Computed tomography (CT) with intravenous contrast was diagnostic in all cases. Symptomatic relief was achieved immediately postoperatively. No child required a second drainage procedure, and all children had an uneventful recovery.