Objective1) Evaluate results of the implant Vibrant Soundbridge vs BAHA in conductive or mixed deafness. 2) Compare audiological and satisfaction outcomes.MethodRetrospective study of 50 patients with mixed or conductive deafness. Twenty‐five patients using VSB, 25 using BAHA.ResultsWith VSB 46% were men, and the age at implantation was 39 years (SD, 15 years). A total 96% of cases FMT were placed on the round window. Mean postoperative pure tone average without VSB was 69 (±17) dB HL and with VSB in free‐field condition 33 (±17) dB HL. Mean hearing gain was 34 (±17) dB HL. When comparing with the BAHA users’ group, the hearing gain was 38 (±14), and there were no statistical differences, P =. 37.ConclusionVSB is an efficient alternative for patients with conductive‐mixed hearing losses, comparable to bone anchored hearing device. The use of the FMT on the round window has demonstrated to be effective in well‐selected cases.