Stapedotomy is a surgical procedure that involves fixation of the stapes, one of the three tiny bones in the middle ear. This procedure involves creating a small hole within the central footplate of the stapes and inserting a piston-like prosthesis to restore mobility. It is used to treat conductive hearing loss due to otosclerosis and improves hearing quality. Stapedotomy is a safe and cost-effective procedure usually done under local anesthesia, while some patients are given general anesthesia such as children or who feel uncomfortable and afraid of surgeries.