This article outlines the perioperative management of chronic suppurative otitis media (CSOM), emphasizing the necessity of early surgical intervention to prevent severe complications and improve quality of life. Key steps include preoperative counseling, comprehensive examinations (otoscopy, audiology, imaging), and meticulous surgical planning. Postoperative care involves wound management, medication use (e.g., avoiding hydrogen peroxide in high-risk cases), and addressing complications like hearing loss, tinnitus, and dizziness. The importance of patient education, informed consent, and individualized treatment strategies is highlighted, particularly for high-risk populations such as geriatric patients.