The National Institute of Clinical Excellence (NICE) has published guidance in September 2019 about Implant surgery for prominent ears, including Earfold. The recommendations support the use of Earfold in the context of a clinical or research study. I am in the process of preparing a clinical study protocol so that patients can continue to benefit from a choice between traditional pinnapasty and minimally invasive techniques such as Earfold, in order that the most appropriate recommendations can be made.