The most common cause of Chronic Suppurative Otitis Media (CSOM) is Pseudomonas aeruginosa. These bacteria have a lot of resistance to synthetic antibiotics, therefore we need to look for other alternative antimicrobials from natural materials that available in our country. One of them is Virgin Coconut Oil (VCO). VCO is made from freshly coconut meat that processed without refining (bleacing a…