Background: Tympanoplasty is defined as surgical procedure to eradicate infection and restore the function of the middle ear. It is the commonest procedure performed in patients with chronic otitis. Aim of the study: The study aimed to assess social and emotional responses of patients regarding hearing loss pre tympanoplasty. Study design: Descriptive research design was utilized. Setting: The present study conducted in otolaryngology department and outpatient clinic at Benha University Hospital. ,Qalyubia , Egypt. Subject: Purposive sample of 80 adult patients with tympanoplasty, were included in the study Tools of data collection: Two tools were used in the study Tool I Structured interview questionnaire, consist of two parts Part 1: Patients’ personal data, Part 2: Patients' health history, Tool II Hearing Handicap Inventory for Adults (HHIA) Scale. Results: Results of the current study revealed that regarding social responses 80.0%of studied patients’ had mild to moderate handicap while20.0% of studied patients’ no had handicap, regarding emotional responses 81.2%of studied patients’ had mild to moderate handicap while3.8% of studied patients’ had significant handicap. Conclusion: there was an impairment of social and emotional response regarding hearing loss Recommendation: Conducting training courses to the patients including basic information to improve quality of life post tympanoplasty.