Microtia is a congenital condition in which there in poor development of ears. Microtia correction involves staged reconstruction of the ear using autogenous costal cartilage. Shown is a case of microtia with partially developed ear and a closed (stenotic) external ear canal producing a conductive hearing loss. These cases requires multiple stages of surgery where in costal cartilage is harvested and contoured to form the external framework and positioning is done in the first stage followed and ear lifting and keyhole surgeries at a subsequent stages.