The original incision for cochlear implant surgery was the lazy S incision. This extensive exposure made the technique easier especially for developing the bone well for the implant receiver. The important disadvantages were the increased post-operative hospital stay, more chances of wound breakdown etc. Using the small minimal access techniques the incision is kept within 3 to 4 cms. The bone well for the implant is made under the skin flap by elevating a small but adequate periosteal pocket. Operation time is definitely reduced from 3 hours to less than 2 hours. Post op stay is down from 7 days to 3 days. Another bonus is the reduced shaving of hair and the consequent reduction in post op staph infection.