Microsuction uses a gentle vacuum device to remove wax under direct visualisation, with no water involved.
Ear irrigation uses a controlled, low-pressure electronic flush
A modern, different method from the old manual bulb-syringe technique, which the British Society of Audiology's own practice guidance explicitly does not recommend.
These two methods are not interchangeable
They typically require separate training, separate equipment, and plausibly different insurance cover.
Deciding which method, or both, you intend to offer is the first real decision in this business, because it shapes your training costs, your equipment list, and the questions you need to ask an insurer.
The market for this service has grown as NHS areas have withdrawn routine GP ear syringing, citing eardrum trauma and infection risk — though NICE's own 2017 guidance separately states GP surgeries should offer earwax removal where it affects hearing.
Those two positions sit in tension, and this guide doesn't try to resolve that for you.
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