Superior semicircular canal dehiscence (SSCD) syndrome has been a topic of much interest since its first description a decade ago. The symptoms of vertigo, autophony, and Tullio phenomenon have been well described as has the utility of surgical repair. The standard approach described for surgical repair of this problem has been to perform a middle fossa craniotomy followed by plugging of the superior semicircular canal. Recently, a transmastoid approach has been described as another surgical option in cases of SSCD, an alternative that could avoid the known risks of a middle fossa craniotomy. Herein we present further data for validation of the transmastoid SSCD repair technique. Additional factors leading to the successful treatment of these patients in the outpatient setting, an approach not previously described, are detailed.