Background: Inverted papilloma is a true epithelial neoplasm of sinonasal cavity. It has a incidence rate of 0.6 cases/100000 people/year. The characteristic features of inverted papilloma are the presence of associated nasal polyps, its tendency to recur, destructive potential and malignant transformation. Objectives: To review the presentation of sinonasal inverted papilloma and its management and review of literature.Method: A retrospective study consisting of 4 diagnosed cases of inverted papilloma of sinonasal cavity which were treated at our tertiary care centre between the period March 2022 to June 2023. Results: 1 out of 4 cases had bits of malignant tissue (squamous cell carcinoma) in the histopathological examination of the completely excised specimen and was referred to higher centre for radiotherapy. Rest 3 cases were completely cleared off the pathology and on regular follow up and no recurrence reported till date.Conclusion: Radical surgery is required for histopathologically proven cases of Inverted papilloma preoperatively, since there is high chance of recurrence if inadequately removed. All histopathologically proven cases of inverted papilloma have to undergo complete surgical clearance of the pathology. The entire specimen has to be sent to histopathological examination again to cross confirm and rule out malignancy. Also the patient should be asked to be on regular follow up to rule out recurrence.