Congenital preauricular sinus is a malformation of the preauricular soft tissues with an incidence ranging between 0.1 and 0.9% in Europe and the United States. It presents a high risk of recurrence when treated by a standard surgical technique (simple sinectomy); the incidence of which is reported to be between 19% and 40%. The supra-auricular approach, proposed by Prasad et al. in 1990, is easier to perform and presents a lower recurrence risk. Personal experience was presented in the treatment of congenital preauricular sinus with the supra-auricular approach as first choice or in the case of primary as well as recurrence following previous standard surgery. This report justifies the use of supra-auricular approach as a very simple and effective procedure for the treatment of primary as well as recurrent preauricular sinus.