One hundred and eight years after its first edition, the two-volume eighteenth edition of Ballenger’s Otorhinolaryngology is published in1300 pages set out in six sections, 114 chapters ably edited by Ashley Wackym and James Snow. Volume one very comprehensively covers otology, neuro-otology and rhinology, while volume two includes facial-plastics, paediatric otorhinolaryngology, laryngology, broncho-eosophagology and head and neck surgery. There is increased coverage of basic science, especially the molecular and genetic basis of otorhinolaryngological diseases. It is a textbook of current clinical practice delivered by an excellent international team, mainly from the USA. This book presents 21st century otolaryngology in a comprehensive textbook covering immunotherapy; medical management of chronic sinusitis; paediatric otorhinolaryngology including cleft lip, drooling, dysphagia, and aspiration; congenital anomalies of the nose and upper airways; acquired aerodigestive tract disorders and much more. A very comprehensive textbook, which is a must for all departmental libraries and the perfect resource for students, residents and surgeons alike. Very good value for its price.