All approaches to the middle ear and all myringoplasty and ossiculoplasty methods described in the major literature are included. Through detailed step–by–step drawings, the reader is guided through each of the procedures, thus enabling the young otologist to learn and the experienced physician to refocus on the preferred method of choice. A major didactic goal is achieved by the categorization of the many modifications into related groups and subgroups. Through over three decades of practice and teaching, the author has achieved in this work the perfect blend of the fundamental and the practical. If anyone would be restricted to a single source on this subject, this work would be his most likely choice. It is a definitive reference for any professional involved in middle ear surgery.