The degree of suffering caused by chronic ringing in the ears leads to different forms of therapy according to the differential diagnosis. In addition to possibly providing a hearing aid, hyperacusis as well as tinnitus management training plays a central role. Training in the management of tinnitus should be carried out in an interdisciplinary manner. Patient management should always be in the hands of an ENT physician who is supported diagnostically and therapeutically by an audiologist (hearing aid acoustician) and a psychologist (psychotherapist). The individual disciplines aid one another. As a rule, all procedures can be offered on an outpatient basis. For learning the techniques, participation in several days of course activities is necessary for all therapists. Fundamentally, all measures must be subject to quality management (certification, follow-up investigations).