Perforation of tympanic membrane could be a sequel of infection, trauma or iatrogenic causes. Repair of same is important to restore hearing and to prevent infections. Goal of successful tympanoplasty is to create a mobile tympanic membrane with an aerated, mucosa lined middle ear and sound conduction mechanism. Various graft materials have been used like Temporalis Fascia,cartilage,venous graft,etc. Temporalis fascia,though is considered to be gold standard, is challenging to use in cases of subtotal/large perforations. Major advantage of using cartilage is stiffness and bradytrophic metabolism, which prevents resorption, reperforation and retraction.In our study, a total of 120 patients diagnosed with COM at Department of Otorhinolaryngology, JSS Medical College; Mysuru; between January 2015 to December 2018 were prospectively analysed.After requisite pre-op evaluation, patients underwent type 1 tympanoplasty using cartilage graft in 60 patients and temporalis fascia graft in 60 patients. Age of our patients ranging from 18 years to 45 years, with 42 males and 78 females.Right ear was affected in 54 patients, left ear in 52 and bilateral in 14 with 61 large central, 26 subtotal, 20 medium and 13 small sized perforations. Results postoperatively were astonishing with postoperative ABG and gain in hearing thresholds significantly better in cartilage group.