This chapter describes the reconstruction of the ear, which includes conchal bowl, triangular fossa, antihelix and scaphoid fossa, helical rim, helical root to helical apex, helical rim, helical apex to inferior margin of cartilage, posterior ear, and lobule. The external ear poses unique and interesting challenges to the reconstructive surgeon due to its composition, shape, and function. The superior three-quarters of the ear can be thought of as a trilaminate structure of skin, cartilage, and skin. Inferiorly, skin and fibrofatty tissue compose the lobule and its “tail” as it extends up the inferior margin of the helix. The proper orientation and positioning of the ear are critical for the success of auricular reconstruction. There are three measurements critical for the proper positioning of the auricle: axis, level, and distance from the orbit. The most important principle of auricular reconstruction is that orientation, location, and size of the reconstructed ear be as similar to the normal ear as possible.