Abstract: Microtia is a common facial deformity and the most severe physiological defect among congenital ear deformities. The application of autologous rib cartilage in two ‐staged auricular reconstruction is currently the international mainstream surgical approach for microtia reconstruction. This consensus has been thoroughly discussed by a national expert group while incorporating recent research findings from both domestic and international sources. It serves as a reference for surgeons specializing in ear reconstruction within the fields of plastic surgery and otolaryngology across the country. The main topics of this consensus included the pathogenesis， preoperative assessment and preparation， key points of operation， postoperative nursing and strategies for managing complications of microtia.

Key words: Microtia, 　Total auricular reconstruction, 　Expert consensus