Malala Yousafzai, 15, was attacked in October after campaigning for girls’ rights to education.
A bullet was removed from her head by surgeons in Pakistan, before she was flown to the UK for further treatment.
Birmingham’s Queen Elizabeth Hospital said a titanium plate and cochlear implant were successfully attached in two operations on Saturday.
A spokesperson said she was continuing to recover and was in a stable condition after the surgery, which lasted five hours.
They said the medical team was “very pleased” with the progress Malala Yousafzai had made so far and that she was awake and talking to staff and members of her family.
Malala Yousafzai had been discharged as an inpatient from the hospital in January after undergoing weeks of specialist treatment.
The Queen Elizabeth is also home to the Royal Centre for Defence Medicine, which has treated many of the injured servicemen and women returning from Afghanistan.
In December the president of Pakistan, Asif Ali Zardari, visited her at the hospital.
Malala Yousafzai’s family are currently living in the West Midlands.
Her father has been appointed education attaché at the Consulate of Pakistan for the next three years.
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