This chapter discusses auricular reconstruction, where objective of auricular reconstruction is to recreate an ear that will go unnoticed by the casual observer. Normal auricular cartilage has a series of ridges and depressions creating the anatomical highlights and fossae of the ear, this in turn creates aesthetic subunits that should be restored during reconstruction. Folding of the auricular cartilage results in a series of ridges with intervening fossae. The medial auricular skin, on the other hand, is thicker with a distinct layer of fat. The auricle is chiefly supplied by the superficial temporal artery and posterior auricular artery, with minor contributions from the auricular branch of the occipital artery. The great auricular nerve and lesser occipital nerves supply the medial aspect of the auricle and the ear lobe. The anterior–inferior most TPF is not dissected to avoid injury to the frontal branch of the facial nerve. The postauricular skin is a valuable source of skin cover for the ear.