A variety of traumatic ear defects are observed after amputation, be it partial, subtotal or total with all resulting defects requiring complex contour reconstruction. The guiding principle is to template the normal ear, and transpose this to the affected ear to appreciate the extent of the defect and map which ear contours are missing. If the defect is less than a quarter and two planes of the ear are missing then a fibrocartilage graft can be used to reconstruct the defect. If greater than two planes or more than a quarter of the ear is missing then costal cartilage is required for reconstruction. In cases of subtotal and total amputation costal cartilage is required for reconstruction. The availability and quality of local skin will determine if any fascia, indirect tissue expansion and number of stages are required to reach the desired end result. In summary, there are multiple causes of ear amputations and this chapter aims to define some principles and guidelines that permit a precise surgical management plan.