We report the restoration of binaural hearing in an 88-year-old man who was experiencing significant communication difficulties. His preoperative air conduction thresholds had revealed a pure-tone average of 55 dB for the left ear and 107 dB for the right, and he was dissatisfied with the benefits provided by his BICROS hearing aid arrangement that had been fitted to his left ear. The combined effects of surgery and a hearing aid offered a 70 to 80 dB improvement for his right ear and restored the communication advantages of binaural hearing.