We all know that there are failures in CSOM (safe ear) surgery up to 10 %. Every step of this surgery has many variations and innovations, but no single method is agreed and gives consistent results. The cause of multiple methods and innovations by each surgeon is persistent failures, which push every surgeon to change over to another method, or innovate to get 100 % result. So there is a need of auditing every step of CSOM surgery with its logic and results so that one method is propagated which gives good and consistent result in everyone’s hand. This will satisfy all our patients.