You've probably didn't notice, if you are not the one having some sort of a “problem” with it, what an important part of our appearance is represented by outer ear anatomy. The outer ear receives and conducts sound waves to the middle and then the inner ear. The outer ear anatomy is consisted of two parts, a conically shaped auricula or pinna extended in its upper part, and external auditory canal or tube. The lowest portion of auricula we mostly like to decorate with earrings is lobe or lobule. The external side of auricula is concave and has various prominences and depressions . It is welled in its middle part in a wide and deep cavity called a cup or concha auriculae which leads to the external auditory canal. In front of concha there is a little triangular prominence called tragus. The cranial side of auricula is convex, with promineces and depressions that has no greater practical anatomy meaning. The auricula is actually that accessory attached to our head we commonly call ear.And, when that part of outer ear anatomy excessively protrudes it can cause some severe problems and disturbance, since it is often the focus of laughter and teasing. Kids can especially be cruel  with unkind nicknames such as “Dambo” or even worse. And that could lead to depression and reclusiveness.  The best solution to this problem is Otoplasty Ear Surgery before  the socialization process begins and when the major ear growth ends. That is around four or five years. Ear protrusion and ear microtia ( very small, underdeveloped, or even absent auricula)  are the two most common congenital ear problems in plastic surgery. Other ear deformities are constricted ear ( folding helix), lop ear ( folding top of the ear), cup ear ( malformed protruded ear, with large concha and a folding top of the ear), shell ear ( flattened ear shell shaped, also called the sea ear), Stahl's ear (presentation of the third crus with flat antehelix also called Spock's ear), and macrotia (extra large ear).Before saying definitely “yes” to the surgery, you should be well informed about the risks ( uneven results, unreal expectations that lead to an unhappy patient, relapse of the protrusion, hematoma or blood clot , infection, abnormal scarring etc. ), and benefits of the procedure as well as the alternative ways of treatment. Nonsurgical techniques can be performed in newborn children with an early start (couple weeks old) of constant and observant therapy. After that, the choice is yours.