Stereotactic navigation has developed into an extremely useful adjunct in the armamentarium of a Rhinologist. From early incarnations of the technology, manufacturers have invested incredible energy into making devices more user-friendly, more compact, more accurate and faster to set up. Devices fall into two broad categories: electromagnetic and infrared. Early electromagnetic devices were felt to be cumbersome and lacked the desired accuracy. This saw the development of infrared devices but, as time has passed, users have become more aware of certain limitations associated with these systems, which has promoted a renewed interest of manufacturers to produce better electromagnetic technologies. This may be a direct response to the expansion globally of the subspecialty of neurorhinology: endoscopic surgery of the anterior skull base and other extended applications. This article discusses the role of image-guided technology in rhinology and its benefit to ENT surgeons and patients through its regular use.