Objective: Effectiveness of Crigler massage in congenital nasolacrimal duct obstruction. Study design: Prospective study Methodology: This Prospective study was done at Department of ophthalmology unit 1 Dow University Of Health Sciences Civil Hospital Karachi from June 2007 to may 2011. 200 patients with history of watering from eye since birth were randomly selected from outpatient department (OPD) after excluding other causes of watering such as corneal disease, congenital glaucoma, infection and nasal pathology. Patient's mother or attendant were taught Crigler massage and were instructed to do it thrice a day for 2-3 months, after washing their hands. Topical antibiotics were given where required and the child was followed for a period of 6 months on monthly basis. Results: 185(92.5%) out of 200 patients had resolution of their obstruction. Probing was done in 15(7.5%) patients who did not respond to massage up-to the age of one year and a second probing was done in 5(2.5%) patients who did not respond to the first probing. Conclusion: Congenital nasolacrimal duct obstruction can easily be resolved by Crigler massage with a high success rate of 92-96%.