My 5 year old had one set of tubes after a year of chronic ear infections (at age 14 mos) and he hasn't had an ear infection since. My 2 year old had his 2nd set of tubes put in last October (1st set put in at one year, worked great until they fell out about 8 mos later) and he's been great since. My 4 year old had his first set of tubes put in at 13 mos and they worked wonderfully for about a year. He had sporatic ear infections/colds for about two years. His speech was very guttural, he was a very restless sleeper, and his tonsils were nearly "kissing". He had a hearing test and the results came back with some conductive hearing loss due to all of the fluid from the ear infections. After much discussion with our ENT and several appointments, we decided to have his tonsils & adnoids out and another set of tubes put in. For me, concern over his hearing loss and speech was the driving force in going ahead with the surgery. I was afraid that since he was still in such a formative stage as far as his speech was concerned (he was 3.5), that the hearing loss could cause him to spend years in speech therapy. He had his surgery last August and it went very well. His speech has dramatically improved (his preschool teachers think he is on target for his age), he no longer thrashes in his bed and falls out of bed every night, and he hasn't had any ear infections. For us, it was a very positive experience. If you are really uncomfortable with going through with the surgery, I would insist that the doctor see you or at least, take the time to call you to discuss your concerns. Good luck.