Cohen O, Amos I, Halperin D, et al. - Researchers conducted this retrospective study to evaluate the 5‐ and 10‐year success rates of endoscopic dacryocystorhinostomy (eDCR) and related risks. All eDCRs performed at the Kaplan Medical Center between 2002 and 2017 were included. For long‐term follow‐up analysis, two subgroups with a minimum of documented 5‐ and 10‐year follow‐up after surgery have been defined. After exemptions, 321, 168, and 65 patients were involved for immediate, 5‐ and 10‐year outcome analysis, respectively. Despite reduced rates over time, eDCR is still effective for the majority of patients 10 years after surgery. Older age, smoking, postoperative epiphora and male gender are linked to long-term failure and should be addressed with patients prior to surgery.