Astandardized and structured process is indispensable for optimal hearing rehabilitation with cochlear implants (CI). The Executive Committee of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), initiated the conception of acertification system and aWhitepaper based on the Association of the Scientific Medical Societies in Germany (AWMF) clinical practice guideline (CPG) describing the current medical standards of CI care in Germany. The goal was to independently confirm implementation of this CPG and make this information publicly available. With the support of an independent certification organization, successful implementation of the CI-CPG by ahospital would then be verified and confirmed by awarding the "Cochlear implant-provision institution" (Cochlea-Implantat-versorgende Einrichtung, CIVE) quality certificate. Astructure for implementation of acertification system was developed based on the CI-CPG. The following steps were required: 1)conception of aquality control system for certification of hospitals working in accordance with the CI-CPG; 2)development of required structures for an independent review of quality-relevant structure, process, and result parameters; 3)development of astandard procedure for independent certification of hospitals; 4)development of acertificate and alogo to demonstrate successful certification; 5)practical implementation of the certification. Following design of the certification system and the required organizational structure, the certification system was successfully launched in 2021. Applications for the quality certificate could be formally submitted from September 2021. Atotal of 51off-site evaluations were performed by December 2022. In the first 16months from introduction, 47hospitals were successfully certified as CIVE. In this period, 20experts were trained as auditors, who have since then carried out 18on-site audits in hospitals. In summary, the conceptual design, structure, and practical implementation of acertification system for quality control in CI care was successfully implemented in Germany.