The most common surgical solution is the dacryocystorhinostomy. Since its introduction in the early 1900s, the procedure has the highest success rate (more than 90) br br for adults who have not had prior nasal surgery or disease. To perform the procedure, your surgeon will create a new tear drain opening from the blocked sac directly br br into your nose to bypass the obstruction. A small incision is made either in the skin or inside the nose.