Parosmia, a condition characterized by distorted olfactory perceptions, has gained increasing attention due to its impact on quality of life, in particular following COVID-19. Despite the millions of people affected by it, its diagnosis and management still present significant challenges. This talk aims to provide an in-depth exploration of recent advancements in diagnosing parosmia, encompassing a comprehensive overview of assessment techniques and their accuracy, underlying mechanisms, and their implications for clinical decision-making.