Objective: To evaluate the efficacy of endoscopic myringoplasty and comparison with conventional myringoplasty. Materials and methods:Sixty cases of clinically diagnosed chronic suppu rative otitis media with dry central perforation were taken into account of which 30 cases were undergone endoscopic myringo plasty and 30 cases undergone conven tional myringoplasty. All patients were followed up on 3rd, 7th, 15th day, 6th weeks, 3rd and 6th months after surgery. Results:The tympanic membrane's perforation healing rate was 86% (26/30), in conventional group of myringoplasty and 83% (25/30) in endoscopic group of myringoplasty and average hearing gain in conventional group was 13.96 dB and in endoscopic group was 15.03 dB. Conclusion:The surgical outcome of endoscope assisted myringoplasty in terms of graft uptake and hearing improvement was comparable to the conventional microscope assisted myringoplasty, but in terms of cosmesis and postoperative recovery patients in the endoscope group had better results.