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" ... Despite this being a short surgery with excellent outcomes, folks have raised concerns about needing general anesthesia, even for such a brief period of time. But keep in mind a few things: most kids who need ear tubes are between ages one and three years, a microscope is used to obtain best visualization, a precise, tiny incision is made in the ear drum and the fluid is suctioned, and a tube just over one millimeter in size is inserted carefully in the ear drum. While it seems simple, otolaryngologists train years to do this quickly and correctly. ... "