**** **Objective:** To analyze the impact of multimodal nursing on perioperative emotional health and surgical safety in rhinoplasty patients. **Methods:** A nursing study was conducted on 70 rhinoplasty patients (July 2021 to June 2024). After randomization before surgery, the effects of conventional perioperative nursing (control group, 35 cases) and multimodal perioperative nursing (study group, 35 cases) were compared. **Results:** No significant differences were observed in postoperative nasal tip projection and nasofrontal angle improvement between the groups (P > 0.05). The study group exhibited reduced postoperative negative emotional scores and increased psychological resilience scores (P < 0.05). Additionally, the study group showed lower postoperative VAS scores, reduced surgical complication rates, and higher nursing satisfaction (P < 0.05). **Conclusion:** The application of multimodal nursing in perioperative care for rhinoplasty facilitates positive psychological and emotional outcomes for patients, while also effectively mitigating postoperative pain and surgical complication risks, demonstrating reliable intervention efficacy.