Ears are normally set close to the head. The word prominent ear means that ear is set away from the head (see the photograph). Also the curves and details seen normally are missing, that is the ear looks 'flat'.

The surgery can be done anytime after 4 to 5 years of age. By that time the growth of the ear is complete and the surgery can be done without affecting the growth of the ear. The ear surgery can be done any time thereafter, but earlier the surgery, the better to minimize the psychological trauma of teasing a child may be having. There are no additional risks if the surgery is done at a later age or during adult hood.

In children a general anesthesia, putting the child to complete sleep is preferred. In older more cooperative children and adults a combination of local anesthesia and sedation is adequate.