Advantages of the lateral graft technique include wide exposure and versatility for larger perforations and for any needed ossicular reconstruction. Disadvantages include the requirement of a higher technical skill level, a longer operative time, slower healing rate, and the risk of blunting and lateralization of the graft. The lateral graft technique is championed by the some doctors as a technique more suited for total drum replacement. Based on the above literature findings the present study was planned to evaluate the anterior tucking and cartilage support tympanoplasty with respect to graft uptake and hearing outcome. The present study was planned in the Department of Otorhinolaryngology (ENT), Nalanda Medical College & Hospital. Total 50 patients referred to the ENT department from March 2016 to September 2017 for chronic otitis media (COM) having tubo-tympanic type of disease were enrolled in the present study. The cases were taken up for Anterior Tucking (AT) and Cartilage Support (CS) Tympanoplasty for the treatment. This study was aimed to compare the effect of the two methods on the graft uptake and hearing improvement. The study concludes that the Anterior Tucking type of tympanoplasty shows statistically better hearing improvement as compared to that of Tragal Cartilage Support method.