A case of a young female child with microtia of the right ear that underwent ear reconstruction. Microtia is a congenital disorder and is immediately recognizable at birth. The malformed ear may be completely absent but, most commonly, a residual malpositioned lobule is present beneath a rudimentary hillock of cartilage. Microtia is usually associated with aural atresia in the higher stages. Congenital microtia occurs with a frequency of 1 per 7000 live births. The mainstay of surgical therapy for microtia reconstruction has been costal cartilage rib grafting. This is typically a 3-4 stage procedure, whereby the ear is created from local tissue flaps and a cartilage framework carved from rib cartilage as seen on the photos. Credit: dr. N. Jithendran