Introduction: Ear discharge in infancy is a major health problem and may lead to hearing impairment , delayed speech and language development , and poor academic performance .The most common cause of ear discharge in infants is ASOM which is due to swelling and infection in the middle ear. CSOM with or without cholesteatoma and otitis externa can affect a child__ampersandsignrsquo;s ability to learn and consequently may have a lifelong impact on his/her quality of life and overall development. Aim of the Study: To find out the etiology and risk factors of neonatal and infant ear discharge. Study Design: Retrospective, observational, analytical study. Method: 2405 children (age group 0 __ampersandsignndash; 1 years) attending the out-patient department from June, 2017 __ampersandsignndash; June, 2019 were examined. Detailed history, clinical examination, and assessment were done after grouping the children in three age group(0-1 month,1-6 months,6-12months). Associated etiology and risk factors were also looked for at each stage of study. Results: Out of 2405 children under 1 year of age 1077 were seen in age group of 6 months 1 day to 12 months of age. In second group 745 patients were noted from 1 month 1 day to 6 months of age. Minimum patients were noted in 0-1 month age group and they were 583 in number. Most common etiology was noted to be A.S.O.M. Most common risk factor noted to be was Respiratory infection(both upper and lower). Conclusion: This present study have a robust result showing the current etiological causes of ear discharge in children below 1 year of age which would guide us for proper diagnosis and empirical treatment of ear infections in them. Most common aetiology is noted to be Upper respiratory tract infection(URTI) leading to otitis media(OM). The most common bacteriologic cause of the discharging ear was pseudomonas species.