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Background: Pseudocyst (seroma) of pinna is a clinical condition where there occurs accumulation of serous fluid between the skin and perichondrium layer either due to trivial trauma or degeneration. Treatment of this condition is challenging as there are high chances of recurrence and cosmetic disfigurement. Methodology: 20 clinically diagnosed auricular seroma patients were studied and compared with needle aspiration technique & Incision and drainage with drain in situ technique and results were compiled. Results: All patients tolerated procedure well. Patients who underwent needle aspiration and pressure dressing had 40% recurrence when compared to drain in situ technique with no recurrence and disfigurement of pinna on follow up of 6 months. Conclusion: Incision and drainage with drain in situ of Pinna seroma is cost effective & simple method with almost nil recurrence rate when compared to needle aspiration technique with good results.