TOMT (LRTOMT2) is a Golgi-enriched, methyltransferase-homology protein in cochlear and vestibular hair cells that functions as a trafficking factor required to deliver the mechanotransduction (MET) channel subunits TMC1/2 into the stereocilia hair bundle, thereby enabling hair-cell mechanotransduction (PMID:28534737, PMID:28504928). In tomt-deficient hair cells, Tmc1/2 are specifically excluded from the hair bundle while other MET complex proteins still localize correctly, abolishing mechanotransduction (PMID:28534737). TOMT directly binds TMC1, an interaction modulated by His183, providing a physical basis for its role in channel transport (PMID:28534737, PMID:28504928). This chaperone/trafficking function is independent of catalytic methyltransferase activity: methyltransferase-dead TOMT retains function in hair cells, and the catecholamine methyltransferase paralog COMT cannot substitute for it (PMID:28504928). The gene arose in primates from fusion of two ancestral genes (Lrrc51 and Tomt) that remain separate in rodents, with LRTOMT2 corresponding to the methyltransferase-homology product (PMID:18953341).