Chronic rhinosinusitis (CRS) and allergic rhinitis (AR) have exhibited increasing prevalence in China. Although 1 longitudinal study demonstrated that the prevalence of selfreported adult AR in several major cities in mainland China increased markedly from 11.1% to 17.6% during a 6-year period, 1 a more recent epidemiological study reported a prevalence of 32.4% physician-diagnosed AR in the grasslands of northern China. 2 Similarly, a cross-sectional survey of CRS in several cities in China reported CRS to be up to 8% (range, 4.8% to 9.7%). 3 Considering the huge population base as well as the great number of patients, the number of physicians currently registered as Ear, Nose, and Throat (ENT) specialists is less than 38,000, with only a small portion being professional rhinologists. Based on the high prevalence and the consequential socioeconomic burden, more studies on the pathogenesis, phenotyping and endotyping, and efficacy of variable treatment options in CRS and AR are needed in China. Over the past decade, increased national financial support has enabled increased numbers of investigations in the field of sinonasal research, leading to significant progress and developments. Thus, this issue of the International Forum of Allergy and Rhinology (IFAR) highlights these developments, and gives the reader a broad and succinct overview of this progressively evolving field.We are entering a new era of precision medicine in rhinology; recent studies, especially in Chinese patients with chronic rhinosinusitis with nasal polyps (CRSwNP), have substantially expanded our understanding of the pathophysiologic and immunologic characteristics of CRS. First, these studies have shown that the inflammatory patterns of CRS are not universal worldwide. Studies have demonstrated that although a pronounced eosinophilic infiltration is predominant in Western patients with nasal polyps, 4 the eosinophilic phenotype constitutes less than one-half of the cases of CRSwNP in China. 5 Thus, the "one size fits all" strategy is no longer suitable in the clinical practice of CRS. Furthermore, these studies have indicated that due to the existence of geographic, ethnic, and environmental differences, both location-specific and ethnic-specific