Cough is consistently the most common patient reported ambulatory chief complaint in the United States. For many patients, in these almost 21 million annual visits, the cough does not persist beyond 8 weeks. However, for those patients with recalcitrant symptoms, chronic cough can be a very frustrating affliction. For the comprehensive otolaryngologist, determining the etiology of the cough and proper management can be challenging. As chronic cough is often multi-factorial and multi-system, its evaluation benefits from efficient history taking and algorithmic work-up. Tailored to the comprehensive otolaryngologist, this Expert Lecture will discuss strategies to efficiently evaluate and manage chronic cough with emphasis on history taking, exam, communication with consultants, and management algorithms. Treatment for a spectrum of conditions will also be reviewed, including both non-invasive and operative approaches.