Introduction: The current treatment modality for nasal polyposis is surgical intervention but the recurrence rate is high. This case report discusses the effective management with Ayurvedic treatment of a case diagnosed as an ethmoidal nasal polyp which was posted for FESS. There is a reduction in the size of the polyp, the patient is asymptomatic and recurrence-free for one year. Case: A 35-year young man on steroidal nasal spray for a year was approached to our hospital with symptoms of continuous nasal blockage and loss of smell. The features were suggestive of nasal polyp ethmoidal type has been diagnostic by CT PNS. Intervention: Application of the paste of SwetaGunja (Abrusprecatorius) over the polyp was started and surgery was deferred because the patient responded positively. Results: The outcome of this case study reveals that Nasal endoscopy finding the size of the polyp reduced from grade 3 to 1 according to Lund Mackey scoring, the patient became asymptomatic and recovered the sense of smell. There was no recurrence of symptoms or polyp for 1 year. Conclusion: Non-surgical intervention of polyp demonstrating the reduction the polyp size, symptoms and also recurrence-free for 1 year. But long studies are needed to assess the sustained results.