The Gruppo Otologico is one of the first private institutions in Italy exclusively dedicated to the diseases of the ear (Otology) & skull base. In a span of 3 decades, it grew into being the largest and the most prestigious centers in Europe for advanced Otology, Implantology and Skull Base diseases. Over the last 30 years, this institute has performed over 30,000 surgeries including 4500 for skull base diseases on patients from 45 countries across the globe. Gruppo Otologico is also the nodal base of the Italian Otological and Neurotological Association (AINOT). This is one of the centers recognized by the European Association of Otology & Neurotology (EAONO) for clinical training in Europe. The Gruppo Otologico has published 15 book titles and 375 scientific articles. 85 fellows and over 500 observers from 35 countries have trained in this institute thus far.