In cases where the problem is limited to the hole in the eardrum, if no inflammation is seen only by protecting the ear from water, surgery is performed according to the patient's preference. Hearing loss in simple membrane holes is around 30%, and these patients should not necessarily undergo an operation. On the other hand, there is a possibility that there may be life-threatening problems in the presence of inflammation, which develops cholesteatoma and dissolves the middle ear and inner ear bones, and these patients must be operated.