I've had it done twice at the doctors office to remove the wax in the past . I remember one doctor using a huge syringe that looks like a caulking gun and shooting it into my ears. The amount of wax that came out was about the size of a pencil eraser. One my ears felt clogged. I made the mistake of putting a Q-tip in and pushing the was in farther. I bought a kit that had ear drops to loosen the wax and then a washer bulb. That is the rubber thing that sucks up the water and then shoots it out. The trick is to use warm water to flush the ear. The directions say it may take a few days for the drops to loosen the wax. At first I used room temperature water. It worked much better putting it in a large cup and microwaving it on high for 30 seconds. I can finally hear normally out of my right ear, but it is still a little tender from the Q-tip. Even though my left ear was fine I decided to clean that one out too and it had a lot of wax too. I use ear plugs to sleep so I'm sure that doesn't help.