James Tysome introduces a new treatment for Eustachian tube dysfunction (ETD) for self-pay patients. The inability to equalize pressure in the middle ear is present in 1% of adults and is known as ETD. The most common symptoms are a feeling of full or blocked ears, popping, clicking or discomfort. Until recently, we have not been able to offer patients any effective treatment for this frustrating problem. Balloon dilatation of the Eustachian tube is a promising treatment with positive improvement reported in 70-88% of patients.