There are two aspects to the management of chronic tinnitus, one is the physician’s explanation of the cause of the tinnitus, which means the patient needs a scientific explanation. The vast majority of tinnitus is an adaptive change in the central nervous system caused by deafness and does not cause deafness to occur. Sudden deafness (induced by nervous fatigue and stress), noise deafness, age-related deafness, and even chronic otitis media can all be complicated by tinnitus. Only rarely is tinnitus caused by a skull base tumor or vascular malformation, and that needs to be ruled out by magnetic resonance imaging. Those with tinnitus with progressive unilateral hearing loss especially need an enhanced MRI to check for tumors in the internal auditory canal and pontocerebellar horn, but of course this is only a very rare case, about 1%. The others are of unknown origin and do not require specific treatment. The other treatment is masking of the tinnitus, that is, masking the meaningless and annoying tinnitus sound with other meaningful sounds. If the patient has insomnia because of tinnitus, I would suggest that the patient listen to whispered music or a book review to hypnotize sleep. Chronic diseases such as hypertension, diabetes, hyperlipidemia, etc. should be actively treated and controlled, as they can all aggravate deafness and tinnitus. In a nutshell: tinnitus is not easy to eliminate, so you can only live in peace and remind yourself to be kind to life.