Congenital nasolacrimal duct obstruction is very common condition in which the extreme end of the nasolacrimal duct underneath the inferior turbinate fails to complete its canalization in the newborn period. The frequency is 2–4% in newborn and there is no sex or race predilection. Usually, these anomalies are sporadic, but genetics, prematurity and maternal drug use can be possible influencing factors. Amniotocele and dacryocystitis are its presentations. Fluorescein dye disappearance test, imaging studies, intubation dacryocystography, scintillography are used for investigations. Differential diagnosis from sinus mucocele and repeated conjunctivitis is done. Massage with digital pressure is used for the treatment. Other than massage, topical antibiotics are useful for mucopurulent discharge. Probing cures 95% of congenital nasolacrimal obstructions. Prognosis for probing decreases with the increasing number of probings and the age of the patient. Nasolacrimal Intubation, Balloon catheter dilatation and dacryocystorhinostomy with or without Intubation is also used. Few complications also accompany these procedures.