Ages

Now you know how hearing aids work!

What next?

Try it yourself ↓

How do hearing aids work?

▶ 4:21 video · Watch on YouTube

  1. 0:00 Start
  2. 0:29 Your ear's keyboard
  3. 1:20 Inside the hearing aid
  4. 1:58 A mixer for your ears
  5. 2:39 Hearing in a busy cafe
  6. 3:21 Two paths, and your ears

Your turn

Tune a hearing aid yourself

Play with the sounds!

Each lab is one step from the video. Tap, slide and switch, and see what happens.

Each lab isolates one part of the story. The hearing patterns are made-up examples, not real hearing-test data and not a hearing test.

Tap the buttons and slide the sliders.

1

Switch the hearing aid

Aided vs unaided

Bring the song back

Turn the hearing aid off and on. Which notes stop reaching grandpa?

With a typical high-frequency loss, the high bands drop out first. Switch the aid and compare.

Turn the hearing aid off and on. Where do the high notes go?

The bars are a made-up example, not a real hearing test.

2

Play the ear's keyboard

Tonotopy along the cochlea

The tiny hair cells

Slide the pitch. Which hair cells wobble? Then show damaged cells.

High frequencies peak near the base, low ones toward the apex. Damaged base cells take the high pitches with them.

Slide from low to high. Watch the tiny hairs wiggle!

3

Follow the sound through the aid

The signal chain

What's inside?

Tap each part to follow the sound from microphone to receiver.

Microphone → digital processor → amplifier → receiver, all powered by a battery.

Tap each part of the hearing aid.

4

Fit a hearing aid

Per-band gain

Just the right help

Pick a hearing pattern, then drag the sliders until every band gets through, but not too loud.

Set the gain in each band to fill the gaps without pushing well-heard bands past comfort. Compare with "turn everything up".

Pick a pattern, then slide the sliders. Can you make every sound just right?

Made-up example patterns, not real hearing-test numbers.

5

Hear a voice in a busy café

Directionality, noise reduction, feedback

Switch the features on and off. When does the voice stand out most?

Two microphones favour the front; noise reduction lowers the steady hum; turn feedback control off to hear why it matters.

A simplified picture of what the features do.

6

Two paths, and your headphones

Aid vs implant, and safe listening

Look after your ears

Compare the hearing aid path with the cochlear implant path, then set a headphone volume.

An aid amplifies for the remaining hair cells; an implant bypasses them. Then try the WHO's 60% guideline.

Slide the headphone volume. Keep it in the green!

How do hearing aids work?

A hearing aid is a tiny sound helper. People wear it in or behind the ear, to help them hear.

1. Your ear

Sound goes into your ear and makes a thin skin shake, like a drum. Tiny bones pass the shake into a little snail shape full of water. Inside are tiny hair cells. When they wiggle, they send a message to your brain.

2. Tired hair cells

Very loud noise, and getting older, can hurt hair cells. Hurt hair cells don't grow back. Often the ones for high sounds, like birdsong, get tired first.

3. Inside the hearing aid

A tiny microphone catches the sound. A tiny computer works out which sounds need help, and makes them bigger. A tiny speaker plays them into the ear. A battery makes it all go.

4. Just the right help

A hearing check shows which sounds are hard to hear. The hearing aid helps those sounds the most. Quiet sounds get lots of help and loud sounds get only a little, so loud sounds aren't made much louder. Very loud noise can still hurt your ears.

Did you know? Some people use a different helper, called a cochlear implant. And lots of Deaf people talk with their hands, in sign language!
Look after your ears: keep your headphones not too loud, and give your ears a rest. If you're worried about your hearing, tell a grown-up and see a doctor.

← More explainers

This page explains how the body works; it isn't medical advice. If you're worried about your hearing, talk to a doctor or an audiologist.

How do hearing aids work? The short answer

A hearing aid is a tiny, computer-powered sound system that you wear in or behind your ear. A microphone picks up sound and turns it into an electrical signal. A chip turns that signal into numbers, splits it into bands from low to high pitch, and boosts the bands the wearer hears less well, often the high ones. An amplifier adds power, and a tiny speaker called the receiver plays the adjusted sound into the ear canal. A battery powers it all.17

Hearing aids don't give back "normal" hearing. They make sound bigger so the ear's remaining hair cells can pick it up.18

First: how your ear hears

To see what a hearing aid helps, follow a sound into the ear:2

  1. Sound waves travel down the ear canal to the eardrum, which starts to vibrate.
  2. Three tiny bones in the middle ear (the malleus, incus and stapes) pass the vibrations on to the cochlea, a snail-shaped tube filled with fluid.
  3. The fluid ripples, and thousands of hair cells ride the wave. Their tiny tips bend, which makes an electrical signal.
  4. The hearing nerve (auditory nerve) carries the signal to the brain, which turns it into a sound you recognize.

The hair cells are arranged a bit like the keys of a piano. Cells near the wide end of the cochlea respond to high pitches, like a baby crying; cells near the centre respond to low pitches, like a big dog barking.2 People can hear from about 20 to 20,000 vibrations per second (hertz).18

Hair cells can be damaged by loud noise, by aging, and by some illnesses and medicines. In people, damaged hair cells don't grow back.413 Often the high-pitch end is hit first: noise damage tends to start with sounds like bells or birdsong, and age-related loss makes high voices and sounds like "s" and "th" harder to catch.1113 This kind of hearing loss, from the inner ear, is called sensorineural hearing loss, and it's the kind hearing aids mostly help.1

The parts of a hearing aid

Most hearing aids share the same basic parts, whatever their shape:71

PartWhat it does
MicrophonePicks up sound and turns the sound waves into an electrical signal1
Chip (processor)In digital aids, turns the signal into numbers and decides how much to boost each pitch17
AmplifierIncreases the power of the signal1
ReceiverA miniature loudspeaker that delivers the sound into the ear canal7
BatteryPowers the electronics: a disposable button cell or a rechargeable battery719

sound → microphone → chip → amplifier → receiver → ear

Digital hearing aids: a mixer for your ears

Most hearing aids today are digital.7 They turn sound waves into numbers, a bit like the binary code inside a computer. Because those numbers carry information about each sound's pitch and loudness, the aid can be programmed to boost some pitches more than others.1 In practice, most digital aids split incoming sound into several frequency bands, from low to high, and set a different amount of boost for each band, like the sliders on a music mixer.14

How much to boost each band comes from a hearing test. The aid is programmed to the degree and pattern of hearing loss the test finds.1615 Someone who misses high sounds gets a big boost in the high bands and little in the low ones.

Digital aids also give quiet sounds more help than loud ones. This is called compression. It matters because making a loud sound too loud is a bigger problem than making a soft sound a little too soft.14 That's why a hearing aid isn't just a volume knob: turning everything up equally would make the sounds a person already hears well uncomfortably loud.

All this happens fast. The processing delay has to stay tiny, because delays of just 3 to 6 thousandths of a second can be noticed.14

In the mixer toy above, the hearing patterns and bar heights are made-up examples to show the idea, not real hearing-test numbers.

Digital vs analog hearing aids

DigitalAnalog
How commonMost hearing aids today7Less common7
How it handles soundTurns sound into numbers; can boost some pitches more than others1Makes the continuous sound wave louder, amplifying all sounds in the same way7
ExtrasNoise reduction, directional focus, several programs7Some can store a few programs7

How hearing aids handle noisy places

Hearing in background noise is one of the hardest jobs for a hearing aid, and it's the top complaint of many wearers.16 Digital aids use several tricks:

  • Directional microphones. Aids with two microphones can focus on sound coming from in front of you, such as the person you're talking to, and turn down sound from behind.716
  • Noise reduction. Lowers the level of steady background noise compared with the sounds you want to hear. Speech rises and falls in a rhythm that the chip can tell apart from steadier noise.720
  • Feedback suppression. Stops the squealing whistle that happens when amplified sound leaks back into the microphone. Whistling can also mean the aid doesn't fit well or is blocked by earwax.71
  • Programs and streaming. Settings for quiet rooms or busy restaurants, wireless streaming of phone calls and music, and a telecoil that picks up sound from loop systems in some public places.71

Wireless streaming often uses the same short-range radio as headphones; see how Bluetooth works. And if you're wondering how headphones cut noise with sound itself, that's a different trick: how noise cancelling works.

What hearing aids can and can't do

Hearing aids can help people hear sounds they've been missing, follow speech on the phone, and talk more easily with family and friends, even in noisy places.8 But they have limits:81

  • They don't restore normal hearing the way glasses can restore sharp vision.
  • They can make background noise louder too.
  • At first, many sounds, including your own voice, can seem too loud. Getting used to them can take several months.
  • If the inner ear is too damaged, even much bigger vibrations won't be turned into nerve signals, so a hearing aid can't help.

If a person has hearing loss in both ears, two aids are generally recommended: they give the brain a more natural signal and help with telling where sounds come from.1

Types of hearing aids

StyleWhere it sitsGood to know
Behind-the-ear (BTE)A case behind the ear, with a tube to an earmold or earpieceSturdy and easy to handle; often chosen for children; used for mild to profound loss71
Receiver-in-canal (mini BTE)A small case behind the ear, with the receiver in the canalSmaller; can reduce a plugged-up feeling7
In-the-ear (ITE)A shell filling the outer part of the earEasier to handle than the tiniest aids7
In-the-canal / completely-in-canalPartly or fully inside the ear canalSmallest and least visible, but harder to handle and adjust7

In the United States, adults 18 and older with perceived mild to moderate hearing loss can also buy over-the-counter (OTC) hearing aids without a prescription. Children and people with more severe hearing loss need prescription aids fitted by a hearing professional.96

Hearing aids vs cochlear implants

A cochlear implant is a very different device. A hearing aid makes sound louder so damaged ears can detect it. A cochlear implant skips the damaged hair cells and sends electrical signals straight to the hearing nerve, which the brain learns to recognize as sound.310

Hearing aidCochlear implant
What it doesAmplifies sound into the ear canalTurns sound into electrical signals for the hearing nerve3
Uses the hair cells?Yes, the ones that still workNo, it bypasses them10
PartsWorn in or behind the earAn outside part (microphone, processor) plus an inside part placed under the skin by a surgeon3
Usually forMild to severe hearing lossPeople who are deaf or severely hard of hearing3

Neither device restores normal hearing, and hearing through an implant takes time and practice to learn.3 More than a million cochlear implants had been placed worldwide by 2022.5

Devices are a personal choice. Deaf communities are diverse, many Deaf people use sign language, and how someone identifies and communicates is up to them.17

How to protect your hearing

Hair cells can't be replaced, so they're worth looking after at any age. Over a billion young people are at risk of hearing loss from listening too loud, for too long.12

  • Watch the volume. The World Health Organization suggests keeping your device below 60% of its maximum volume.11 You may hear this as the "60/60 rule" (60% volume, 60 minutes, then a break); that's a handy rule of thumb, not an official limit, but WHO does recommend regular breaks.11
  • Know the numbers. Sounds at or below 70 decibels are unlikely to harm hearing, but long or repeated exposure at 85 decibels or more can. Headphones at full volume can reach 94 to 110 decibels.4
  • Time matters. WHO says 80 decibels is safe for up to about 40 hours a week, but 90 decibels for only about 4.11
  • Block the noise instead of turning up. Well-fitted or noise-cancelling headphones mean you don't need to crank the volume; earplugs help at concerts.114

Want to go deeper into the physics? See how sound travels, and for what's inside a rechargeable cell, how batteries work.

Common misconceptions

"A hearing aid is just a volume knob." Digital aids boost some pitches much more than others, based on a hearing test, and give quiet sounds more help than loud ones.114
"Hearing aids give you perfect hearing back." They don't restore normal hearing, and the brain needs time to adjust.8
"Hearing aids and cochlear implants are the same thing." An aid makes sound louder for the hair cells; an implant bypasses them and signals the nerve directly.3
"Only older people need to worry about hearing damage." Loud sound can damage hair cells at any age, and they don't grow back.412
"Louder is always better." Too much boost makes loud sounds uncomfortable, which is why hearing aids compress sound instead of just turning it up.14

FAQ

How do hearing aids work, in simple words?

A microphone picks up sound and turns it into an electrical signal. A tiny computer chip turns that signal into numbers, uses settings from the wearer's hearing test to boost the pitches they hear less well, and an amplifier adds power. A tiny speaker, called the receiver, plays the adjusted sound into the ear canal. A battery powers it all.

Can you hear fully with hearing aids?

Hearing aids don't restore normal hearing. They make sounds louder and clearer for the hair cells in the inner ear that still work. Many people hear much better with them, especially speech, but it can take several months for the brain to get used to the new sound.

What are the disadvantages of a hearing aid?

They can make background noise louder along with the sounds you want, at first many sounds (even your own voice) can seem too loud, they can whistle if they don't fit well or are blocked by earwax, and they need batteries or charging, cleaning and occasional adjustment.

Which is better, in-ear or behind-the-ear hearing aids?

Neither is best for everyone. Behind-the-ear aids are sturdy, easy to handle and can give more power, so they suit many degrees of hearing loss and are often chosen for children. In-the-ear aids fill the outer bowl of the ear and are fairly easy to handle. In-the-canal aids are the smallest and least visible, but harder to handle and have less room for features. A hearing professional helps choose based on the kind of hearing loss and lifestyle.

What's the difference between a hearing aid and a cochlear implant?

A hearing aid makes sound louder so the ear's remaining hair cells can detect it. A cochlear implant skips the damaged hair cells and sends electrical signals straight to the hearing nerve. Implants are for people who are deaf or severely hard of hearing, for whom making sound louder isn't enough.

Are digital hearing aids better than analog ones?

Most hearing aids today are digital. They turn sound into numbers, so they can be programmed to boost some pitches more than others, reduce steady background noise and focus on sound from the front. Analog aids, now less common, make all sounds louder in the same way.

Can you buy hearing aids without a prescription?

In the United States, adults 18 and older with perceived mild to moderate hearing loss can buy over-the-counter (OTC) hearing aids in stores or online. Children and people with more severe hearing loss need prescription hearing aids fitted by a hearing health professional.

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Sources

  1. NIDCD (NIH), Hearing Aids
  2. NIDCD (NIH), How Do We Hear?
  3. NIDCD (NIH), Cochlear Implants
  4. NIDCD (NIH), Noise-Induced Hearing Loss
  5. NIDCD (NIH), Quick Statistics About Hearing
  6. NIDCD (NIH), Over-the-Counter Hearing Aids
  7. U.S. FDA, Types of Hearing Aids
  8. U.S. FDA, Hearing Aid Benefits and Limitations
  9. U.S. FDA, OTC Hearing Aids: What You Should Know
  10. American Speech-Language-Hearing Association (ASHA), Cochlear Implants
  11. World Health Organization, Deafness and hearing loss: Safe listening
  12. World Health Organization, Deafness and hearing loss (fact sheet)
  13. MedlinePlus (NIH), Age-related hearing loss
  14. Kates JM, Principles of Digital Dynamic-Range Compression, Trends in Amplification (2005)
  15. University of Utah Health, How Do Hearing Aids Work?
  16. Johns Hopkins Medicine, How Do Hearing Aids Work
  17. National Association of the Deaf, Community and Culture FAQ
  18. OpenStax College Physics 2e, 17.6 Hearing
  19. Wikipedia, Hearing aid (battery types)
  20. Bentler R, Chiou LK, Digital Noise Reduction: An Overview, Trends in Amplification (2006)