Tethered ears may refer to the attached ears. There is no specific optimal age for removal of the attached ears; in the case of an adult anytime, in the case of a child it needs to be after the age of 5-8 years old for those who can tolerate local anesthesia and stabilize through the surgical procedure before the removal is performed. If you are an adult, you can have your ears removed at any time for cosmetic reasons. Since local anesthesia is required for ossicular excision, it is best for children to wait until they are 5-8 years of age or are able to cooperate with the surgery, otherwise the surgery can be performed at a later date. In addition, if the attached ear is small, it can be removed and treated in an outpatient ENT or plastic surgery clinic. If the attached ear is large, the excision is extensive and further implantation is required, it will require hospitalization in the operating room. Before the ear removal surgery, a local anesthetic will be injected, and the ear will be restored to its normal shape by cutting and sewing the excess cartilage tissue with specialized instruments. The surgery must be performed under strict aseptic conditions as there is a piece of cartilage deep within the ear that is removed during the surgery. It is recommended that patients with attached ears can actively seek medical attention and follow the doctor’s instructions for standardized treatment.