Objective: This study aimed to study double anterior temporalis fascia myringoplasty in primary safe large central tympanic perforation regarding graft uptake and hearing gain. Methods: The present work included the study of fourteen (14) patients who presented with symptoms suggestive of chronic suppurative otitis media (CSOM) to E.N.T. outpatient clinic, Zagazig university hospitals. All patients were suffering from mucosal type of CSOM and the tympanic membrane perforations are of large size; subtotal perforation. Temporalis Fascia Tympanoplasty type I operation was performed for all patients with double anterior layer technique. Results: This study included Fourteen (14) patients suffering from mucosal type of CSOM. They included 5 males (35%) and 9 female (65%). The age of patients at the time of presentation was maximum of 37 years and minimum of 12 years with a mean of 23.71 years. The main presenting symptom was hearing impairment in all the fourteen (100%) patients. Ear discharge was the second common presenting symptom. The rate of success in our fourteen cases was 100% in our study, the audiometric tests performed at the 3rd postoperative month revealed that the mean air-bone gap decreased by 20±1dB.