Background: Serous otitis media or otitis media with effusion or glue ear is an accumulation of fluid in middle ear in absence of infection. Even though it is primarily a disease of preschoolers it can also affect young adults due to various etiology ranging from anatomical variations to inflammation, allergies, upper respiratory infection, and trauma. The objective of this study is to analyze the management profile of serous otitis media in our tertiary care hospital. Materials and methods: This is a prospective study, conducted in the department of otorhinolaryngology in a tertiary care centre from the period of march 2022 to march 2023, between the age group of 20 and 50 years and was diagnosed with serous otitis media. Result: The age group most often affected by serous otitis media ranged from 30 to 40 years of age. The majority of the patients responded well for medical treatment and few of them whom did not respond medically were planned for surgical intervention. All cases (100%) were put on medical treatment and regularly followed up. 78% of cases responded well with medical treatment.22% went in for myringotomy and grommet insertion.