Stapes surgery is undeniably the most precise and exacting otologic surgery ever. This procedure involves replacing the tiny bone called the stapes, making a precise opening in the “round window” or the opening into the inner ear and accurate placement of an artificial bone or prosthesis to reconstruct the conductive mechanism of the middle ear. The placement of the window, the length and width of the prosthesis and penetration into the window are critical factors for the long-term success of the surgery. In Dr. Manoj’s ENT, combining the world’s most advanced microscopes with precise instruments like the skeeter drill, an opening of 0.8mm is made in the footplate and a 0.6mm piston is inserted, giving fabulous hearing results. Due to the sealing of the fenestra with a vein graft, patients do not suffer from vertigo and are able to leave hospital 2 hours after surgery and take up normal, day-to-day activities immediately. This is made possible by years of surgical experience and a large load of stapedotomies done, one of the highest in India. We have an enviable record of no profound hearing loss in over 1400 stapedotomies performed.