The effectiveness of surgery to correct prominent ears in relieving the psychosocial distress of children has been analysed in this prospective study. 30 children and their families were assessed preoperatively and again 12 months postoperatively. It was found that whilst prominent ear correction improved the well-being of 90% of the children, there was a small group of acutely distressed children who remained dissatisfied with outcome. These were children who were socially isolated prior to surgery. Careful screening and referral back to the family doctor of the more distressed children is recommended.