The authors aimed to develop a current collective practice profile for management of nasolacrimal duct obstruction (NLDO). They conducted an online survey of American Association of Pediatric Ophthalmology & Strabismus (AAPOS) members of which 142 completed surveys were collected within a one-month period. Stent types included self-threading monocanalicular as the most common followed by metal-swaged bicanalicular stent. There was a bimodal distribution for frequency of intubation use, with peaks at the lowest (0.10%) and highest (91-100%) meaning some surgeons almost always intubate whilst others rarely intubate. There was a further bimodal response for use of balloon catheter dilation at the highest and lowest frequency peaks. The survey demonstrated wide differences in current practice patterns. Thus, further research is needed to clarify the indications and cost-effectiveness for NLD intubation and balloon dacryoplasty.