Ossiculoplasty, also known as ossicular chain restoration, is frequently done to restore hearing after middle ear disorders such cholesteatoma or tympanosclerosis have been removed. Reconstruction can be done all at once during the initial procedure, or it can be done in two steps, such as in cases with extensive cholesteatomas and damaged tympanic mucosa. The materials used to replace or reconstruct the continuity of the ossicles can be artificial prostheses made of Plastipore, ceramics, titanium, and hydroxyapatite or homologous grafts like remodeled incus or tragal cartilage. Hearing after tympanoplasty and tympanomastoid surgery for chronic otitis media has been markedly improved by the use of ossicular graft material in ossicular chain rebuilding. Today, otologists have a wide array of tools from which to choose, but may find it difficult to know which middle ear implant works best. Aim: To determine the hearing outcome of using tragal cartilage in performing ossiculoplasty. Conclude: We can conclude that using tragal cartilage in performing ossiculoplasty improves the hearing outcome