Each surgeon has their own preference for anesthesia during an otoplasty. As surgeons, we always want our patients to be comfortable during any procedure. In my practice, I perform otoplasty on young children (usually around age 5 or 6) under general anesthesia in a hospital setting. For older teenagers and adults, I often recommend IV sedation with local anesthesia. Some patients may desire purely local anesthesia, but this can potentially make the surgery more difficult for the patient and the surgeon. I always discuss these options and concerns with my patients during their consultation so that they are aware of the options, risks, and benefits, of each anesthesia technique. Best,