The Farrior method, first published in 1959, relies on a combination of techniques, tailored to the patient's anatomy. Scott A. Scharer, MD, and colleagues present a retrospective review of clinical outcomes and patient satisfaction of 75 patients who underwent a Farrior otoplasty during the past 15 years. Various aspects of the Farrior method are evaluated. Although no major complications were noted, the incidence of minor complications was higher than expected. Frequently, the combination of conchal cartilage reduction, cartilage scoring, and mattress suturing was used to achieve the desired outcome, with overall high patient satisfaction rates.