I have total hearing loss in my right ear due to sudden hearing loss in 2018. I love my Osia with respect to being able to determine where sound is coming from (direction). It also aids me with understanding the speech coming in on my deaf side. It has been almost three years since I received the bone conduction implant. I would only warn you about the clips that hold the tether on the processor. They are prone to break which caused me to lose a processor. Luckily it was still under warranty, and I was able to get it replaced. Before you commit, be sure to get the ENT office to let you try a processor held on by a headband. It is not quite the same as the implant sitting directly on the bone, but it will give you an idea of how it will sound.