Dive Gear

How I Finally Stopped Getting Ear Infections While Diving

I have been getting ear infections my entire life.

Not occasionally. Not after the odd long week in the water. Dozens of times a year, every year, for as long as I can remember. Two days after a dive, sometimes three, sometimes five, the pain would arrive. That deep, throbbing ache that starts behind the ear canal and radiates through your jaw, your teeth, the side of your face. The kind that wakes you at three in the morning and leaves you lying in the dark with your jaw clenched, already knowing you will have to text the centre and cancel tomorrow’s dives. The kind that lasts seven days, sometimes ten, and leaves you unable to dive, unable to guide, unable to do the one thing your whole career is built around.

I am a dive professional. I am in the water three, four times a day. Ear infections were not an inconvenience. They were an occupational crisis.

What It Actually Costs

People who have not lived with chronic ear infections sometimes think of them the way they think of a cold. Unpleasant, temporary, something you push through. They are not that. At their worst, they are debilitating. I have pulled out of guided dives last-minute with divers who had flown in for the trip, because I could not safely be in the water. I have sat out liveaboard trips I had been looking forward to for months, watching the boat leave the dock from a hotel room with a hot compress pressed against the side of my head. I have taken antibiotics so many times that, after a while, I started worrying about what years of that was doing to my body. I saw ENT specialists. I tried every kind of ear drop, every drying agent, every home remedy a friend or stranger swore by. Some helped a little. None of them solved it.

The real cost was never just physical. When you are a dive professional, your income, your reputation, and your passion are all the same thing. Being in the water is not optional. A missed dive is a missed paycheque, a cancelled trip, a diver who waited months for the day you said you would guide them. It is the slow erosion of the work I had spent years building. And it is missing the ocean, which for me is not a small thing.

The Tip That Changed Everything

It was another divemaster who mentioned them. We were sitting on the back of a boat between dives, both of us pulling on the same brand of fins, and at some point the conversation turned to ears, the way it does when two professionals find each other. She had been wearing Surf Ears for two years. Not a single infection. She gave me that look I have come to recognise from divers who have already solved a problem you are still drowning in.

I had heard of Surf Ears. I had assumed they were a surfer product, not something relevant to diving, and the foam plugs I had tried in the past had been useless: they blocked the water but they also blocked everything else. You cannot dive that way. You have to hear your guide, your buddy, the click of fish on the reef and the rasp of your own regulator. You have to be able to equalise. Surf Ears, she told me, were different because of the acoustic mesh. The mesh keeps water out and lets sound through. You hear the dive. You just don’t drown in it.

I reached out to Surf Ears. They sent me a few pairs of the 4.0, their current model, and I started wearing them on every dive.

What the 4.0 Is

The 4.0 is the most refined version of a product that has been refined through multiple generations by a Swedish company that clearly cares about getting it right. It comes with interchangeable plugs in different configurations and sizes, both three-flange and two-flange options, so you can find the exact fit for your ear canal. The fit is everything. The first day I tried them, the medium three-flange did not seal properly and I felt water creeping in by the third dive. I switched to the larger two-flange, and that was the size. From that point on they have been silent and dry.

They are connected by a soft cord so you cannot lose them in the water, which sounds like a small thing until you have spent any time gearing up on a rolling deck with cold hands. They are flat enough to sit comfortably under a wetsuit hood. They go in fast once you know your size. After a few days you stop thinking about them. They are part of the routine, in the same drawer as your mask defog and your dive computer.

What Changed

The first month wearing Surf Ears 4.0, I did not get an ear infection. I have been diving with them every day since. I still have not had an infection.

That sentence does not really capture what it means. What it means is that I can plan a week of diving without building in the mental contingency of when the next infection will arrive and how many days it will take from me. It means I can commit to a liveaboard without the quiet voice in the back of my head asking whether my ears will hold up to four dives a day. It means I have stopped dreading the water in the way I had, very quietly, started to, after years of associating diving with the pain that would always follow.

The first time I noticed it was halfway through a busy week of guiding at the start of a season. I realised I had been in the water every day for nine days running. Nine days. Pre-Surf Ears, that would have meant pain by day three, antibiotics by day five, a week of recovery and a quiet apology to a group I had been meant to take out. Instead I was on day nine and my ears felt completely fine. I almost did not believe it. I kept waiting for the throb to start. It did not.

Surf Ears 4.0 did not improve my diving. They made it possible to be a dive professional without rationing my time in the water against the cost my body was paying to be there.

What I Tell Other Dive Professionals

If you have chronic ear infections, if you have tried the drops, the prescription antibiotics, the home remedies, the drying agents, try Surf Ears before you try anything else. Not as a treatment, because they are not a treatment. As prevention. The whole problem with outer ear infections is water sitting in the ear canal long enough for bacteria to take hold. Surf Ears eliminates the water. No water, no infection. It is that direct.

They are not a hard product to believe in. They work because the mechanism is simple and the execution is careful. I wear them on every dive now, including on multi-day liveaboards like Malpelo, where three or four dives a day makes ear protection essential. I push them on every freediver I know. The repetition counts in freediving are even higher than in guided scuba, and the exposure risk is the same.

That endorsement comes with a personal guarantee. I have the years of pain to back it up.

You can find Surf Ears 4.0 at surfears.com.

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