My son was the same, breastfed, but the ear infections started at 4 months old, and never stopped. He had his 6th infection by his first birthday, a few more, then they stopped for 4 months (I was a nanny and he was out of daycare). Then, they suddenly started up again, around 19 months old. They would get better with antibiotics, but always seemed to come back within a week of finishing it, so it was like it never completely went away. They kept trying different antibiotics, but after at least 2 infections a month for 4 months, he finally got tubes at 23 months old. I wasn't sure I was making the right decision, was a little unsure of whether he really needed them. The Dr's wouldn't give me opinions on whether he needed them or not- just explained to me how they worked and wanted me to decide. They said they would stay in between 4 months and a year, the first fell out after 8 months, the other after almost a year. To help me decide whether to do it (because he was almost 2, and some kids outgrow infections at 2), he said a lot of people will schedule it for a month away, and if they don't get any more infections, just cancel it. So I did that, and he had 2 infections during that time, the 2nd was the day of the surgery, that went away with no antibiotics with the tubes in place. For my son and I, tubes were the right choice. The infections stopped, 4 months after the first tube fell out he got one, that was in March, and not another one since then. I didn't want him to continue all the antibiotics, to me the simple surgery was better than constant antibiotics. I have heard that chiropractors can help a lot too, I haven't tried, but it might be worth it. The surgery was very easy, we had to be there 1 hour in advance to do paperwork and have them check his temp and everything. Just sat in the children's waiting room and he played. He sat on my lap when they put him to sleep, after he was asleep they put him on the bed and sent me back to the waiting room. Within 15 minutes, the Dr came to tell me how it went (that both ears were infected, he suctioned out what he could and the rest should drain, and that the tubes were in place with no problems). He stayed in the first recovery room until he woke up, with a nurse there with him. (that takes about 10-15 minutes). Then they get you and go to the 2nd recovery room, where you hold them while vitals are checked, and within 15-20 minutes we were on our way home. It is normal for kids to wake up crying after being put to sleep, he was a little crabby, we layed around and cuddled the rest of the day, and the next day you never would have even known he had just had surgery. Good luck in your decision.