Purpose: Grommet insertion is a procedure frequently encountered by junior doctors and surgical trainees. However, opportunities for supervised procedural training are limited by service demands, patient safety concerns, and restricted access to simulation facilities. Commercial otology simulators are often expensive and not universally available. This study describes the development of a low-cost, readily accessible simulator designed to facilitate safe and effective training in grommet insertion. Methods: A simulation model was constructed using inexpensive, commonly available materials. Suction tubing was used to replicate the external auditory canal approximating average canal length and diameter. A latex glove secured at the distal end simulated the tympanic membrane and handle of malleus marked with a marking pen. The tubing was mounted through a cruciate incision in a standard glove box, providing stability and appropriate angulation. The model allows use of standard otological instruments under direct vision or microscopy, enabling practice of myringotomy incision, grommet placement, and fine instrument handling. Results: The simulator was assembled at minimal cost and demonstrated face validity by reproducing key technical challenges of grommet insertion, including restricted access, depth perception, and precision of movement. Survey feedback from otorhinolaryngology consultants/fellows, trainees and junior doctors indicated improved procedural confidence and understanding of technique with majority of respondents stating they would recommend it to junior doctors. The model is portable, reusable, and easily reproducible, allowing repeated practice without patient risk. Conclusion: This low-cost grommet insertion simulator provides an effective and scalable training tool. Its affordability, simplicity, and accessibility support widespread adoption in surgical skills training, with potential benefits for procedural competence, confidence, and patient safety.