The tympanic membrane puncture for secretory otitis media requires anesthesia depending on the patient’s physical condition and tolerance level, and is commonly performed under surface anesthesia or local infiltration anesthesia, or even general anesthesia. Tympanocentesis is a surgical procedure in which the tympanic membrane is punctured to remove fluid from the tympanic membrane, and antibiotics or glucocorticoids can be injected into the tympanic membrane at the same time. The patient’s ability to tolerate general, local, or surface anesthesia can be assessed prior to the procedure, and some patients who tolerate the procedure well may be able to complete it without anesthesia. Secretory otitis media is a non-suppurative inflammatory lesion of the middle ear that can lead to symptoms such as stuffiness in the ear and hearing loss. After the onset of the disease, you should seek medical attention and standardize the use of medication and treatment under the guidance of a physician.