Tinnitus is considered a symptom and not a diagnosis. It varies in its presentation from unilateral to bilateral and intermittent to constant. Typically, it is of unknown etiology but can be due to a secondary medical condition. Work up should include obtaining a detailed history and performing a focused physical examination as well as assessment of potential concomitant hearing loss as these often go hand in hand. Management includes helping the patient cope with their tinnitus using tools such as cognitive behavioral therapy among others. Education is also crucial to help patients understand and overcome the challenges associated with this symptom.