Suitable for both adults and children, the procedure usually takes around two hours. The surgeon makes a small incision, using either a scalpel or laser, at the back of the ear so that the cartilage is exposed. The cartilage is then sculpted and bent back toward the head. In cases where only one ear may protrude, the surgery is usually still performed on both ears for better balance.

After the surgery, a bandage is wrapped around the patient's head to help with moulding and healing. This stays on for approximately one week, after which a lighter and smaller headband is usually worn during sleep for the next two to three weeks. In most cases the incision leaves a faint scare at the back of the ear, which fades over time. Swelling and bruising post-surgery is usually minimal.

Otoplasty is considered to be have minimal risks, but may involve:

- Bleeding
- Bruising
- Infection
- Visibility of scar
- Asymmetry of ears