I am often asked by parents to help explain to their child why they need an Otoplasty. This is a difficult situation, because the parents are trying to protect their child from being teased about their ears. Unfortunately, until the child has been questioned about their ears, has received negative comments about their ears, or has looked in the mirror and been upset about the appearance of their ears, the child is not aware that a problem exists. One of the worst things parents can do is to push the child toward surgery, before the child is ready and wants to make a change in their appearance. An Otoplasty should be a confidence building procedure that enhances the relationship between the parents and their child. When the child is ready, they will let you know. It is important for parents to be in tune to the signs that their child is concerned about their ears. Some of these are: girls always wear their hair down, avoiding ponytails, headbands and up dos. This may extend to avoiding activities during which their hair would be up. Boys resist having their hair cut or avoid activities like swimming where their ears would look larger with wet hair. Between 8 and 10 years of age, most children have the maturity needed to comply with the post-operative care and the insight to know that their parents are helping and supporting them to make a positive change in their lives.