A case of Ramsay Hunt's syndrome is presented and discussed ; a 22 year-old Korean Army patient was called on Kwang-Ju Tri-service Hospital on Sept. 22, 1971 under the complaints of servere otalgia, a scanty amount of blood stained ear discharge and vesicles on the cavum conchae and external auditory canal on the right side. Three days later right sided facial paralysis and severe hearing loss were developed associated with typical herpetic blister on the cavum conchae and so we confirmed it to be a Herpes Zoster Oticus. Herpes Zoster is a viral disease most often affecting sensory nerves due to involvement of the ganglion. A case of herpes zoster with facial paralysis was reported at first by Tryde in 1872. And the Ramsay Hunt's syndrome consisting the herpes zoster of the ear with facial paralysis, acoustic symptoms and occassionally disturbances of 8th & 5th cranial nerves was elaborated and named by Ramsay Hunt in 1910. For this case, we started local physio-therapy and systemic medication such as antibiotics, niacinamide, thiamine, prednisolone and nonavitamin. Above chief complaints were disappeared within 10 days but the facial paralysis was remained. After 8 weeks, facial nerve decompression was performed under operating microscope. The facial movement was much improved progressively and almostly returned to normal appearance within 12 weeks post operatively.