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Pinnaplasty / Otoplasty (ear corrective surgery) – Information for GPs

Referral criteria / commissioning position

Surgery is not routinely commissioned; Requests for funding are required, prior to referral, to the Individual Funding Request Panel (IFR) on the grounds of clinical exceptionality; the minimum requirements are:

  • the patient must be 5 or more but under the age of 19 years at the time of referral


  • the child, rather than the parent alone, expresses concern about the prominent ears


  • there is independent evidence from a health professional or a teacher that the child’s health and wellbeing is being severely adversely affected despite all reasonable steps being taken to address the issues (eg. dealing with bullying)

Patients seeking Pinnaplasty should be seen by a plastic surgeon and following assessment, if there is any concern, assessed by a psychologist.

For individuals aged 19 years and over, the IFR request must demonstrate a clear clinical need for the surgery, as Pinnaplasty will not be commissioned in adults for purely cosmetic reasons.

Investigations prior to referral


Information to include in referral letter

• Details of how the patient meets this requirement
• Impact on quality of life
• Drug history (prescribed and non-prescribed)
• Relevant past medical/surgical history
• Current regular medication
• Smoking status
• Alcohol consumption

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