A system that harvests cartilage, trims the thickness of the cartilage and shapes the cartilage for reconstruction of the tympanic membrane. The system includes a punch and a template. Punch can include a handle and a plurality of interchangeable cutters having differently shaped cutting portions and a first cutting portion harvests cartilage. Template includes top template and bottom template between which harvested cartilage can be captured to trim the cartilage to a desired thickness. The punch can then be fitted with a second cutter having a desired shape, which is inserted through a pass through recess one of the templates to contact the cartilage to punch out the desired shape in the cartilage.