Introduction :Suppurative otitis media is a common disease affecting all ages and both sexes. Development of bacterial resistance is very common making difficulties in management of both acute suppurative otitis media (ac s o m) and chronic suppurative otitis media (ch s o m) cases . More recently, interest in honey as a therapeutic agent has undergone a renaissance. Honey is used for management of infected wounds ,burns and exhibited excellent results against Gram +ve and Gram-ve organisms in vitro and in some in vivo studies on infected wounds. Aim of the study: To compare results of using Al-sidr honey and antibiotics for treatment of acute and chronic suppurative otitis media. Methods : Culture and sensitivity of honey, using agar incorporation technique to prepare plates containing serial dilutions of honey to detect MIC for the selected organisms . preparing honey as ear drops 10% more than MIC. Patients : One hundred twenty patients , 60 with (Ac s o m) and 60 with (Ch s o m)divided into 2 groups , Group 1 honey group divided into Group 1A: 30 patients with ac s o m (10 with Streptococcus pneumonia , 10 with Haemophilus influenza and 10 with Moraxilla catarrhalis) and Group 1B 30 patients with ch s o m ( 10 with Pseudomonas aeroginosa ,10 with Klebsiella and 10 with Proteus) treated by Al-sidr honey local ear drops. Group 2 antibiotic group same distribution as group 1 and treated by antibiotics . Results: There is significant differences between using honey and traditional approach for antibiotic use even after ClS without side effects or complications. Conclusion : we recommend start using Al-sidr honey as local ear drops for management policies of suppurative otitis media. *Assistant professor ENT Benha Faculty of medicine, ENT Consultant Sharora G Hospital **microbiologist Sharora G Hospital Introduction