From the current development of China’s social development p medical technology developed situation and I engaged in otology more than 50 years of medical practice observation, now the highest incidence of otitis media should be children’s period of exudative otitis media (I call it does not flow pus otitis media), especially kindergarten children’s health care center to adopt a simple screening out of this type of otitis media more. The true acute otitis media is actually less, clearly diagnosed as acute p chronic suppurative otitis media has been significantly reduced by the early liberation and difficult times, especially those who call it accompanied by cranial and cerebral complications and cholesteatoma formation and must be surgically treated has been more rare, but in the operation of the actual treatment, the practice of actively advocating the surgical treatment is also prevalent, it is worth discussing is the general chronic simple suppurative otitis media is it necessary to operate? It is worth discussing whether all chronic simple suppurative otitis media require surgery. Although the development of medical examination and surgical instruments nowadays has significantly improved the safety and operation time of the surgery, this surgery is still a large surgery in the field of otology and requires hospitalization, which takes a long time and costs a lot of money, which is not affordable to the general public. According to the experience of myself and my colleagues in the department, the use of non-surgical treatment, especially “negative pressure suction p middle ear drug replacement method” for the treatment of chronic otitis media, the effect is very good, especially under the guidance of the endoscope, the lesions are clean, blowing into the drug in place accurately, and after the treatment, there is no need to take medication, injections and other treatments and related costs, generally 1-3 times can dry the ear, and the ear can be dry, and the ear can be dry. After treatment, there is no need to take medication and injections and other treatments and related costs, generally 1-3 times can dry the ear, occasionally recurrence, can repeat the treatment, so I think chronic simple purulent otitis media with non-surgical methods of treatment is more appropriate.