Deafness and tinnitus are among the symptoms of diseases of the external ear, middle ear, inner ear, auditory nerve, auditory center or adjacent organs, and may also be a manifestation of systemic diseases. Therefore, etiological examination is very important, and until the cause is clearly identified, responsible treatment cannot be talked about at all. Many patients with deafness and tinnitus often visit their doctors with excessive and unrealistic expectations (or illusions): they hope that a single glance by the doctor, a prescription for 1-2 days of medication, or a magical injection of some kind will cure the disease completely. Many patients are unable to cooperate with the doctor in the examination of the cause of the disease, or hope that the problem will be solved in 1 day or even in 1 morning. It is important to understand that in the vast majority of cases, this is not possible. The diagnosis of the cause of most deafness and tinnitus complications (especially in chronic patients who have had the disease for many years) requires repeated clinical audiology and laboratory tests, which take a lot of time and effort. It should be noted that otology and audiology is a very rigorous science, and it is not unusual for workers in this science to have different educational backgrounds, different medical practice experiences, different academic views, and different medical specialties, and to have different opinions on the diagnosis and treatment of deafness and tinnitus. Different academic views will always exist in the medical community, both ancient and modern. Therefore, it is best to listen to the opinions of different doctors in regular qualified hospitals and find a hospital and doctor you trust. Generally speaking, the most important thing is to treat tinnitus and deafness within 2 weeks of onset immediately, while the etiological examination is the most important issue that should be considered first when the disease is more than 2 weeks old. The etiologic examination and evaluation of deafness is complex. Audiological examination generally includes multiple electrical audiometry (for determining the baseline curve), auditory brainstem potentials, otoacoustic emissions, tympanogram, and stapedius muscle reflex. Etiologic evaluation generally includes enhanced scans of the inner ear canal and pontocerebellar horn region, blood biochemistry, immunology, and endocrine testing to maximize confirmation of the etiology and the presence of a pathologic basis in vivo. In summary, it is recommended that deaf tinnitus patients should follow Mao’s teaching of “if you are here, you should be at peace”, not be impatient, cooperate carefully with your trusted physician in the examination and treatment, and find the best treatment plan for you based on the identification of the cause. This may be the shortest way to recover from deafness and tinnitus as soon as possible. Just like the law of development of all things in the universe, the recovery process of hearing and tinnitus in the course of deafness and tinnitus treatment may be full of twists and turns and repetitions, which need to be analyzed on a case by case basis. For tinnitus and deafness with chronic onset, as long as the diagnosis is correct and the treatment plan is appropriate, adherence to long-term continuous treatment as prescribed by the doctor (which may take months, years or even a decade; varies from person to person and from condition to condition) is often a necessary prerequisite for maximum or complete recovery.