Patients with otosclerosis where sound waves do not pass beyond stapes (ossicle) with significant hearing loss are candidates for a stapedotomy.  During a stapedotomy, with an incision made in the skin of the ear canal. a Teflon piston is introduced through the thickened stapes footplate to provide conduction of hearing. With the recently available microdrills the surgery is very done precisely in a short time with no postoperative discomfort as nausea and vomiting and the hearing improvement is assessed immediately on the table . this is also done as a day-care procedure