Historically, cochlear implants have been treated as a last-resort option for adults with profound hearing loss. However, Erika Woodson, MD, FACS, Medical Director of the Head and Neck Institute’s Hearing Implant Program at Cleveland Clinic and Sarah Sydlowski, AuD, PhD, MBA, Audiology Director of the Hearing Implant Program (HIP), believe caregivers need to reconsider implants for adults who still have residual hearing. Caregivers should feel confident in referring patients who could benefit from implants, but it is important to do so early since patients with residual hearing who receive implants earlier have better outcomes than those who get them as a last resort.