<p>Endoscopic ear surgery has revolutionized the field of otology, offering improved visualization and minimally invasive techniques. However, maintaining a clear surgical field remains a challenge. Single-handed endoscopic ear surgery poses challenges, particularly in managing bleeding and flap elevation. Hereby proposing a novel technique that integrates irrigation and suction into a single instrument, enhancing visibility and efficiency. By attaching a 3-way cannula and foot suction to a circular knife built in suction, surgeons can irrigate while elevating flaps, keeping the field clear and reducing the need for repeated suction. This setup enables continuous irrigation and suction, improving visibility and surgical field clarity. This 3-in-1 technique facilitate the learning curve for single handed endoscopic ear surgery. It streamlines the surgical process, saving time and enhancing precision.</p>