Cholesteatoma otitis media is a common clinical condition, and many patients and their families, when informed of this diagnosis, ask if it is possible without surgery. Here is a brief introduction to the disease and a unified response. Cholesteatoma otitis media is essentially an invaginated epithelial cyst, or a cyst inside the ear, which grows because of the tension formed by the constant accumulation of beanbag-like debris inside the cyst and the destruction and absorption of the surrounding bone by the cyst itself, causing damage to the surrounding tissue structure, especially to the bony structure, resulting in hearing loss or even total deafness, head fascination, headache, facial paralysis, and in severe cases, postauricular rupture, intracranial infection, and even life-threatening. But some patients say: I don’t have any symptoms, my hearing is fine, I don’t have pus, and it doesn’t hurt, so why do I need surgery? This is often the early stage of the disease, or a state where the infection has not occurred, and the doctor finds it early and tells you before anything goes wrong. Just like repairing a car, you are advised to repair it early before it breaks down to avoid complications and to achieve a better surgical result. As a relatively young doctor, I have seen too many such patients, too many regrets, regret is pointless, I hope you believe that doctors are for everyone’s health (our patients need to wait in line for the bed, not because of the lack of patients to advise you to operate, this is not good, but still write on, at present this trust is still not strong enough).