Tympanostomy (ventilating) tubes are the most common ambulatory surgery performed on children in the United States. This presentation provides strategies and management paradigms for optimizing outcomes for children with tympanostomy tubes, based on current best evidence and the author's experience as an international authority in managing otitis media. Topics will include tube selection, perioperative management, office-based insertion, water precautions, tube obstruction, tube granulomas, chronic otorrhea, medialized tubes, and adjuvant adenoidectomy. Emphasis is placed on a patient-centered approach that builds upon current practice guidelines and evidence-based strategies.Learning Objectives: 1. Implement proactive strategies in tube selection and perioperative care to optimize outcomes. 2. Manage common tube problems, including obstructed lumen, granulomas, tube otorrhea (recurrent and chronic). 3. Identify practical techniques for educating families and engaging them in shared decisions based on best evidence.Faculty: Richard Rosenfeld, MD, MPH, MBA(Nothing to Disclose).