Aim: Hearing loss impacts over 1 billion people around the world today. Throughout history it has also impacted the works of many composers such as Ludwig van Beethoven and Gabriel Fauré. Their adaptative strategies to continue their work demonstrate early technological innovation and insights into auditory processing that continue to influence the treatment of those with hearing impairments today. Method: A comprehensive review of historical and medical literature to identify composers who experienced hearing impairment. The review focuses on evaluating the strategies they developed, their efficacy and parallels to modern technologies. Results: Throughout history, Composers have employed a variety of techniques to address and adapt to their hearing impairments. Beethoven utilised ear trumpets as amplification devices and resonance plates that improved bone conduction. Fauré and Bedřich Smetana used auditory processing techniques and adapted their styles in response to hearing loss. Modern technologies such as bone conduction devices and auditory training programs build upon similar principles used by these composers of the past. The addition of hearing aids and cochlear implants further build on these principles to vastly improve the experiences of those with hearing impairment. Conclusion: These composers’ techniques for adapting to their hearing impairment highlight their personal resilience and the early understandings of auditory science. Their experiences offer a valuable perspective on the intersection between art and medical innovation which provides foundational knowledge for modern technologies.