ABSTRACT Chronic suppurative otitis media (CSOM) is a chronic inflammatory condition of the middle ear cleft. It is of two types: Mucosal and squamosal, and it can present with life-threatening complications. A surgery of very small structure, like inner and middle ear, is very difficult to do accurately with naked eyes and this led to the evolution of magnifying devices, like loupes, microscopes, and endoscopes. With time, electronic devices came into picture and a trained coordinated move of the hand under microscopeassisted eyes gave accurate and better surgery results. The use of microscopes has crossed the territory of otology and many other surgical specialties are also using like neurosurgery, plastic surgery, and ophthalmology. How to cite this article Singh R, Mohan C, Srivastava A. Glimpses of Evolution of Micro-ear Surgery. Int J Adv Integ Med Sci 2016;1(3):119-122.