Chronic Suppurative otitis media is a long standing inflammation of mucoperiosteum of middle ear cleft. It is associated with intermittent, continuous, mucopurulent or purulent ear discharge, hearing impairment and tympanic membrane perforation. C.S.O.M. was defined by task force of Fourth International Symposium of otitis media held in June 1987in Bal Harbour, Florida as the condition “refer to a chronic discharge from middle ear through perforation of tympanic membrane.”It usually leads to irreversible pathological changes. It is slow and insidious in nature. It is capable of causing irreversible sequel and fatal intracranial complications when medical and surgical inter venations are delayed. It is commonest cause of hearing impairment. It is often unnoticed (Zelhius et al1940).Presence of fluid attenuates sound transmission which may result in hearing loss (Paparella 1986). Chronic suppurative otitis media is a global disease. It is one of the important health problems in our country. Serious complications may arise from it. It is seen in all the continents of world having different environmental and socio-economic background. It is more prevalent in developing countries. Poverty illiteracy, crowding, malnutrition are root factors for the development of Chronic Suppurative otitis Media and a large group of society are suffering from it. The morbidity and mortality associated with otitis media is a really a challenge for health care systems. Surprisingly there are very few studies done in India to know the burden of disease on the society. This is a small attempt to peep into magnitude of problem, where in school going children in Wardha District are studied.