Tympanoplasty is a surgical procedure designed to repair a ruptured eardrum, potentially including the reconstruction of the ossicular chain. The dual objectives of tympanoplasty are to ensure the ear remains dry and to enhance the patient’s hearing. The overlay and underlay techniques are the most frequently employed methods for repairing a ruptured tympanic membrane. The choice of technique and graft for the perforation repair is influenced by the size of the perforation and the surgeon’s expertise. Various grafts, such as temporalis fascia, perichondrium/cartilage island, veins, and canal skin, are utilized in tympanoplasty. Conducting ossiculoplasty to enhance hearing presents a challenge for the surgeon. In recent times, endoscopic ear surgery has increasingly been preferred over the traditional microscope method due to its minimally invasive nature and lower complication rate. However, like all surgeries, tympanoplasty carries some risks. Patients considering tympanoplasty should be informed of potential complications, including residual perforation, taste disturbances, facial nerve damage, and auditory chain damage.