Aim: To determine the functional outcome of endoscopic composite cartilage tympanoplasty in patients having chronic otitis media with safe central perforation (small or medium). Methods: This prospective study was conducted on 100 chronic otitis media cases with safe central perforation (small/medium) in the department of Otorhinolaryngology, RVM Institute of Medical Sciences & Research Centre, Laxmakkapally, Telangana, India for the period of 1 year. All the patients were selected as per the described inclusion and exclusion criteria. All cases underwent endoscopic composite cartilage graft tympanoplasty (type-I) under general anesthesia. Audiological outcomes were assessed by comparing mean pure tone average preand post-operatively and morphological results (successful graft uptake) were evaluated at 6 months.