Microtia is the complete absence of auricular tissues. Total reconstruction of the ear is one of the most difficult problems is reconstructive surgery. Classical multi-staged reconstructions can achieve satisfactory results but they require multiple hospitalizations and high cost. The ideal would be reconstruction of a life-like ear in one operation. Yeguang Song from China has done one stage total ear reconstruction in 1981. After studing the vascular anatomy of the auricular region we began the work of one stage total ear reconstruction in Hazrat Fatemeh hospital and the results were good. Therefore we suggested one stage total ear reconstruction instead of multiple stages.