Following the longstanding requirement felt by the otolaryngology fraternity of the state, AOI Kerala under the then President (2015-16) Dr. P. Gopikumar decided on formulation of treatment guidelines for common ENT disorders. This would serve as a general guideline for the ENT consultant when confronted by equivocal situations in day-to-day practice, and also serve as a reference in dealing with medico-legal tangles. Thus, a technical committee was formulated and the draft formulated by the technical committee was discussed and revised by learned colleagues to prepare the final draft.