**9. Surgical training and young surgeons**

Otosurgery belongs to the micro-surgery procedures. In order to progress through various techniques of otosurgery, the microscope is fundamental to adequately understand the anatomy in its three dimensions. For a beginner, the best choice is to proceed training with both techniques contemporary in order to understand the different perspective of the middle ear. Not all surgeries could be completely done by endoscope, and also in case of a complication or bleeding, a microscope surgery is necessary. For experienced otosurgeons, it is preferable to start their endoscopic surgery with ventilation tube placement then move to myringoplasty and therefore to cholesteatoma removal.
