Reconstructive surgery of the middle ear continues to fascinate the otologist of today. In spite of progress in recent years, we must recall with gratitude that this problem was tackled by our predecessors almost a century ago. Even though some of the basic problems have been solved, additional discussion of methods and techniques of middle ear surgery must continue. It is our purpose to describe a method of operation on the middle ear mechanism to produce optimal hearing improvement in subjects with interruption of the ossicular chain mechanism by restoring the connection between the tympanic membrane and the labyrinthine contents. This method includes stapedectomy and autotransplantation of a remaining ossicle. The method was performed by one of us (Hall) as early as 1955 and published6 in 1957, prior to the publications of Portmann15 Schuknecht,17 and Shea.18 Accordingly this is the first method to revive stapedectomy, including