Aim: To investigate the impact of adenoidectomy in cases of secretory otitis media in children. Material and methods: This prospective research was conducted at the Department of ENT. A total of 80 patients were examined, all of them were diagnosed with bilateral SOM based on otoscopy, pure tone audiometry (PTA), impedance audiometry, and verified adenoid hypertrophy using X-ray Nasopharynx and diagnostic nasal endoscopy (DNE). The research comprised patients between the ages of 4 and 14 who had chronic episodes of bilateral SOM with adenoid hypertrophy. The study documented symptoms such as nasal blockage, snoring, nasal discharge, hearing impairment, ear fullness, and sore throat. Tympanometry was performed on all children to verify the openness of the external auditory canal, and the presence of Stapedial reflux was documented. Results: When taking into account concomitant morbidity, it was found that, 30 individuals (37.5%) experienced concurrent tonsillitis, whereas 16 members (20%) exhibited symptoms of sinusitis. Otoscopic findings of the tympanic membrane (TM) showed the dull, lustreless, amber colouredtympanic membrane was the most common finding 62(77.5%) followed by retraction 41(51.25%) and air bubbles 7(8.75%). Hearing improvement during the 1st month was 13.1dB, at the 3rd month was 13.3dB and at the 6th month was 12.8dB compared to preoperative findings (Table 5). As the p-value is 0.001, that is <5%, hearing improvement at 1st, 3rd, and 6th month was statistically significant. Conclusion: SOM is a prevalent etiological factor contributing to auditory impairment in paediatric populations. The persistence of SOM may be attributed to inadequate therapy or factors such as adenoid hypertrophy, recurrent upper respiratory tract infections (URTIs), and sinusitis, which may lead to impaired functioning of the Eustachian tube (ET).