Minimally invasive surgery for otitis media is currently the most advanced surgical technique for the treatment of chronic suppurative otitis media and cholesteatoma-type otitis media. This technique has the advantages of no skin preparation and hair shaving before surgery, no incision on the body surface during surgery, no medication change after surgery, high success rate, few complications, and good hearing protection. Although Dr. Zheng has been exploring minimally invasive surgery for otitis media for about ten years, minimally invasive surgery for otitis media is still mysterious and difficult to understand for the majority of ear surgeons and patients with otitis media, so Dr. Zheng has written the story of myself and every patient with minimally invasive surgery for otitis media in the form of a continuous chapter book. One is to leave a treatment file for each patient who has undergone minimally invasive otitis media surgery, so that if any problems arise in the future, it will be easier for Dr. Zheng and the patient to work together to find a solution. Another purpose is to provide a reference for other patients and medical colleagues to dispel the mystery of minimally invasive otitis media surgery. It is hoped that with Dr. Zheng’s vigorous exploration and promotion, minimally invasive surgery for otitis media can be popularized in most hospitals in China within ten to twenty years, benefiting the majority of otitis media patients. Patient Zhong, female, 28 years old, from Yangshan, Qingyuan, Guangdong. The patient was admitted to the hospital with a diagnosis of right-sided chronic suppurative otitis media. The patient was admitted to the hospital by me in the outpatient clinic and was the first of six surgeries today. I explained to the patient before the operation that the poor hearing might have a problem with the auditory chain, and if it could be released intraoperatively, the artificial auditory bone would not be needed, and if it could not be released intraoperatively, the artificial auditory bone would be needed. In addition, if a cholesteatoma is found intraoperatively, the mastoid needs to be opened, but if there is no cholesteatoma, the mastoid does not need to be opened. The patient said: “Dr. Zheng, you can handle it according to the situation, no need to explain to me, I trust you. The patient’s trust is the biggest pressure for the doctor, the patient trusts the doctor so much, then the doctor naturally has to come up with his best technology to cure the patient’s disease, otherwise he also feels sorry for the patient. Because the most lacking thing in our society is trust, trust is sometimes more precious than gold. After the anesthesiologist administered the anesthesia, the surgery began. The endoscopic surgery was minimally invasive, without any incisions on the body surface. The mucosa of the tympanic cavity was a little swollen, and there was some mucus in the upper tympanic cavity but no cholesteatoma. The surgery went very well and took about 45 minutes. The surgery was completed in this way, turning the traditional microscopic surgery of opening the mastoid and replacing the auditory bone into a completely minimally invasive surgery that does not require opening the mastoid, which is the beauty of minimally invasive surgery for otitis media. The surgery is simpler for the surgeon, and for the patient, it can be completely cured after surgery, avoiding the tedious post-operative follow-up process. The patient had no surgical complications and was in good spirits at the post-operative check-up.