Our ear clinic provides a comprehensive range of hearing tests for neonates, children and adults. Objective assessment of hearing in young children is quite difficult. First, we make sure there is no wax or secretion blocking the ear canal, and then a clinical assessment is made about the status of the eardrum, or the absence or presence of fluid in the middle ear cleft. Objective assessment is undertaken using frequency specific cochlear emission audiology. This involves putting a probe into the ear. It is rapid, not painful, and well tolerated. Ideally, it is done when the child is quiet or even asleep, so we encourage a booking time after a planned feed. In young children, VROA is often performed. This involves a trained observer (audiologist) observing the child and its response to noise introduced at various intensities from either the left or the right side. In older children and adults, formal audiometry is performed ina an appropriately calibrated soundproof booth. This can be supplemented by speech audiology/ speech discrimination to test the ability of an individual to tell the difference between phonemes that sound similar, for example, hat, cat, bat and rat. Middle ear pressure is tested using tympanometry; this involves placing a probe in the ear canal, to measure the middle ear pressure. More sophisticated tests of the balance canals, inner ear fluid pressure, the functioning of the nerve of hearing (BERA), are performed as clinically required. Particle repositioning for benign paroxysmal positioning vertigo is undertaken as required and supplemented by appropriate vestibular rehabilitation exercises.