Nasal packs have been routinely used after nasal surgeries to prevent postoperative bleeding and synechiae formation. The aim of this study is to evaluate and compare the outcomes of hydroxylated polyvinyl acetate (PVA) and medicated ribbon gauze packs after performing nasal surgeries. A prospective observational study was conducted in a tertiary care hospital of South India from 2017 to 2019. A total of 100 patients satisfying the study criteria were included and divided equally into two groups. Group A underwent PVA packs and group B underwent medicated ribbon gauze packs. Visual analog scale for pain (0–3), hemostasis score (0–5) and postoperative mucosal scores were measured. The mean VAS scores in the postoperative period were 1.46 ± 0.3 and 1.92 ± 0.4 (p = 0.000), respectively. After pack removal, mean VAS scores were 1.84 ± 0.4 and 2.4 ± 0.6, respectively (p = 0.000). The mean hemostasis scores of PVA and ribbon gauze group were 2.2 ± 0.95 and 1.64 ± 0.8, respectively (p = 0.119). The postoperative mucosal scores were 2.75 ± 0.6 and 2.9 ± 0.7 on day 14 (p = 0.35) and 1.2 ± 0.4 and 1.9 ± 0.7 on day 28, respectively (p = 0.001). We conclude that PVA packs caused lesser pain and had better postoperative healing when compared with ribbon gauze. Though ribbon gauze packs had better hemostasis control, the difference was not statistically significant.