This historical account commemorates the development of otolaryngology as a specialty in Australia, tracing its origins from early surgical practices to the modern era of technological advancement. Spanning more than a century, the evolution of Australian otolaryngology is marked by the pioneering work of influential surgeons, groundbreaking surgical techniques, and innovations in remote care delivery tailored to the country’s unique geographic challenges. Early ENT practices took root in the late 19th century, when traveling doctors like Dr. Henry Newland and Dr. William Silver helped establish standards of care across vast regions. Over time, significant contributions from Australian otologists such as Dr. Marcus Atlas, who advanced endoscopic ear surgery, Dr. Robert Briggs, who developed cochlear implantation techniques, and Dr. Barbara Towsey and Professor Colette McNeill, who advocated for pediatric ear health and cochlear implant advancements, further established Australia as a leader in the field. This report, based on historical records, institutional archives, and interviews with senior ENT practitioners, is divided into four eras of Australian otolaryngology: (1) the foundation years, (2) the establishment of the specialty, (3) adaptation and innovation in remote care, and (4) the modern era of research and global leadership.