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Pros and Cons of a Cochlear Implant

Monday, June 30, 2025

Deciding whether to get a cochlear implant (CI) can feel overwhelming. If you are researching this option, you're likely weighing the benefits and potential drawbacks to determine if it's the right choice for you. Fortunately, understanding the pros and cons of having a CI can help you make an informed decision that fits your lifestyle and needs. 

Below, we’ll explore CI benefits while addressing common concerns about outcomes, surgery, cost, and other impacts of this life-changing device. 

What Are the Benefits of a Cochlear Implant?

A cochlear implant is designed to help someone with significant hearing loss experience better hearing. Here’s a closer look at the advantages: 

 

1. Better Connection to the World Around You 

A CI offers the ability to hear every day sounds you may be missing — birds chirping, music playing, or a loved one’s laughter. A CI can also give you more awareness of things happening around you (e.g., an oncoming car when you’re crossing the street, someone calling you from across the room, the microwave beep indicating that a snack is ready for you to enjoy). Hearing the sounds that you are currently missing can help you navigate the world more safely, experience an improved quality of life, and develop stronger connections with others. 

 

2. Improved Hearing in Noisy Environments 

Unlike hearing aids, which make sounds louder, a CI bypasses damaged parts of the inner ear to directly stimulate the auditory nerve. This difference is important for people with severe to profound hearing loss who typically have damage or dysfunction in the inner ear. For these people, even when sounds are amplified by the hearing aids, the amplified sound may not be enough to allow them to hear clearly, especially in noisy places.  

If you receive a CI, it sends sound signals directly to the auditory nerve and can allow you to hear and participate in conversations in busy or noisy settings, like restaurants or large gatherings. 

 

3. Improved Speech Understanding 

For many people, a CI will help them hear and understand speech better. For adults, many people who get them can hear and talk much more clearly than they could with hearing aids. This means it’s easier to have conversations, even when there’s background noise. For children, getting a CI early helps them learn to talk like other kids their age and can make it easier for them to do well in school and make friends. 

Everyone’s results can be a little different, but most people who get a CI notice a big improvement in how well they are able to communicate with others. 

 

4. Custom Fitting and Support 

Your CI is fit during appointments with your hearing care professional. This means your CI is tailored just for you! You'll undergo a thorough process to ensure the device is fine-tuned to your hearing needs. Plus, you'll have access to ongoing support and programming adjustments to continue improving your experience, and as technology gets better over time, upgrades are available to enhance your hearing journey.  

 

5. Option for Both Ears 

Some people choose to get a CI in both ears (bilateral implantation) for balanced hearing. This can enhance the ability to detect the direction of sounds and better understand speech. Additional options for both ears include a CI and a hearing aid or CI and a CROS (a device that collects sounds from one side and sends it to the sound processor on the other side).  

Common Questions About Cochlear Implants

1. Will I Lose My Residual Hearing from Getting a CI? 

Not all people who receive a CI lose their residual hearing; however, it is possible that CI surgery will impact residual hearing in the implanted ear. Your surgeon will discuss this with you before the procedure. If retaining residual hearing is crucial to you, this may be a key point to consider.

The good news? Many CI recipients find the improved hearing from the implant far outweighs the loss of residual hearing. Some even choose a hearing aid for their non-implanted ear to have hearing in both ears. 

2. Will a CI Help Me as Soon as It Is Turned On? 

It takes time to adjust to hearing with a CI as your brain learns how to interpret the new signals. With practice, most CI recipients feel confident and capable in their everyday lives. 

If you are concerned about specific activities, such as swimming or exercise, rest assured that many CIs have options to accommodate your active lifestyle. 

 

3. Will a CI Affect My Speech? 

A CI will not directly change how you speak but can indirectly improve it. Many CI recipients find that with clearer hearing, it is easier to modulate their volume and pronunciation, leading to enhanced speech clarity over time. 

If speech therapy is part of your routine, your therapist can work with you after implantation to optimize your outcomes. 

 

4. Will getting a CI affect any other senses?

The five senses are sight, smell, taste, touch, and hearing. A small percentage of CI recipients may experience changes in their sense of taste. Changes are usually temporary and can vary depending on individual factors and the specific implantation process. If you are concerned about a CI impacting your sense of taste, please discuss your concerns with your surgeon. 

Potential Drawbacks or Side Effects of a Cochlear Implant

While the benefits of a cochlear implant are significant, there are a few potential drawbacks to consider: 

1. Surgical Risks 

Cochlear implantation involves surgery, which carries some risks, such as infection, dizziness, or temporary discomfort around the implant site. These issues are generally rare and typically resolve with proper care. If you are concerned about surgical risks, please discuss any concerns about surgery with your surgeon.  

 

2. Adjusting to How Things Sound 

The initial sound perception through a CI is not the same as natural hearing. It may take weeks or months for your brain to adapt and for sounds to feel familiar. The adjustment process requires practice and patience. Luckily, there are plenty of free resources designed to help you practice listening with a CI.  

3. Device Maintenance 

Your CI requires care and attention, including regular maintenance and occasional replacement of external components. Advances in technology are making this easier, but it’s a commitment to keep in mind. 

 

4. Cost Considerations 

Since hearing aids can be expensive, people are often surprised that a CI can be comparably more affordable. That’s because a CI (or two CIs) are often covered by many public healthcare and private insurance plans. However, depending on your coverage, there may still be out-of-pocket costs for surgery, activation, and follow-up appointments. Check with your provider to understand your CI coverage. 

 

5. Dependence on Technology 

Since the external device is essential for hearing, you will rely on it daily. Technical issues or can temporarily disrupt your hearing. Thankfully, the latest CI technology and services can allow you to easily troubleshoot on your own, or even allow your audiologist to troubleshoot and reprogram your CI remotely through a smartphone app. This means shorter downtimes and fewer hassles. 

Is a Cochlear Implant Right for You?

The decision to get a CI is deeply personal and depends on your unique hearing needs and goals. If you are someone who wants to participate more fully in conversations, reduce the frustration of hearing aids, or experience the world of sound in a new way, a CI may be worth exploring. 

Ultimately, the choice comes down to understanding the potential benefits and challenges and weighing them against what matters most to you. 

Take the Next Step

Your hearing impacts countless moments in your day-to-day experiences. The goal of a CI is to improve your hearing, empowering you to live your best life. Your hearing matters.

Note: The views expressed in this post are those of the author. Each person's situation is unique so your experience may not be the same. Talk to your hearing care provider about whether a cochlear implant is right for you.

Lori Hambrick
written by Lori Hambrick

Lori Hambrick

Lori Hambrick is a Principal Education & Training Manager at Advanced Bionics.

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