Endoscopic ear surgery has become very popular in our field due to lower morbidity, higher visual resolution, and surgical efficiency. While endoscopic otologic surgery has been described previously at AAO-HNS, this course will discuss the evolution of pediatric otologic surgery from open to endoscopic approaches and when certain approaches are favorable. Attendees will be exposed to ear anatomy from an endoscopic view, surgical set-up and techniques (tympanoplasty, ossicular chain reconstruction), indications, avoiding and managing complications will be discussed. Videos will be incorporated into the course to aid in illustration.