Micro ear surgery is an exercise in finesse and perfection. In the confines of the middle ear and the temporal bone, within a few millimeters of each other lie some of the vital structures of the human body. For the good results in ear surgery, the surgeon must be adept in manoeuvring around these structures, removing disease, never damaging structures. In MESIARC, middle ear and inner ear surgery has reached a level of skill where our results speak for ourself, and thousands of happy patients are our most vociferous ambassadors. Illustrated here are some of the results of over 800 micro ear surgical procedures performed annually at the Institute.