Endoscopic ear surgery (EES) is becoming very popular worldwide. Transcanal endoscopic assisted procedures and combined endoscopic and microscopic surgeries have proven to be safe and effective to manage ear diseases in a minimally invasive way, preserving important anatomic structures, allowing functional approaches to well-known conditions. Moreover, endoscopes have provided a better view and understanding of traditional middle ear anatomy and physiology, allowing new landmarks, novel concepts of tissue preservation, ventilation routes, and management of other conditions within the middle ear and beyond. In this session we will present the latest trends on EES, discussing advantages, disadvantages, indications, results, and possible complications.