Kids can be cruel. Unknowingly, but mercilessly, cruel. Teasing and verbal ridiculing among children has become a common and accepted occurrence in the school-ground setting. Children will let loose unkind remarks onto others without realising the negative impact of their words. The psychological consequences of repeated teasing from peers can be dramatic, painful, and prolonged. Children with prominent ears (those that “stick out”) are often the subject of such negative taunts. This can lead to the development of negative self-image and a lack of self confidence. As a result, these kids may shy away from social interaction, and eventually become cocooned in their isolation. Surgical correction for prominent ears (otoplasty) can be life-changing. The procedure aims to correct any anatomical structural aberrations of the ear, and to set the ear back in relation to the head. The only evidence of the surgery is a well hidden scar behind the ear. Patient satisfaction and predicted outcome from the surgery is generally high. When then is the best age to have an otoplasty? Although the procedure can be undertaken at any age, the best age to have it done is around the early school years, when the child is starting to develop social interactions with their circle of friends, and is most sensitive to been different to the rest of the group. I also believe that it is best if the decision for surgical correction can come in part from the child. They should want to have it done. Therefore, the procedure should be explained to both parents and child, and the child needs to have a degree of understanding about the condition and it’s treatment.