Objective: The glomus tumor is an enigmatic middle ear neoplasm commonly delayed in diagnosis. Frequently grouped with its skull base counterpart, surgery and radiation are often recommended as therapy. The objective of this report is to highlight the diagnosis and surgical treatment of this neoplasm in a large series. Tumor control in the long term is defined. Study Design: Retrospective case review. Setting: Private practice-tertiary referral center. Patients: All patients surgically treated for glomus tympanicum tumors from May 25, 1972 to July 3, 1998 (N = 80). Interventions: Surgical excision of glomus tympanicum tumors. Main Outcome Measure: Total tumor control in the long term. Results: Surgical treatment resulted in long-term tumor control for the vast majority of the patients studied. Conclusions: Surgery provides excellent control of glomus tympanicum tumors. It is safe and well tolerated, with minimal morbidity.