A variety of medical specialists are exposed to patients who seek treatment of external ear neoplasms. They are uncommon occurrences, and malignancies of the external ear are even rarer. Only 1 patient in 10,000 with an ear complaint will have a pathologically proven malignancy of the external ear. Tumors of the external ear, both malignant and benign, commonly resemble one another. A timely and correct diagnosis is necessary to avoid affecting the external ear's ability to collect sound, but also to avoid the more morbid and mortal complications of an external ear malignancy. This paper briefly outlines the epidemiology of external ear tumors, their etiology, related histopathology, and treatment, which encompasses a myriad of modalities and specialties.