How can you order more replacement tips?

They’re the same as Etymotic’s In-Ear monitor headphones. My silicone tips have lasted me for years, but I’m sure you could get more of their good foam tips from Etymotic’s website (accessories page or through customer support).

I'm finding it difficult to remove the ear tips. It seems to require a lot of force, but I'm afraid of ripping them. Thoughts?

You just have to break the seal... which means letting some air around the flanges. Open your jaw and pull down on your ear with one hand, and pull out the earplug with a twisting motion. Mine came with a string, so I don’t know why the other answer said different. But I like the little plastic tab better for pulling it out.

How do I know what size to get?

The standard size fits 80% of the population. Have you ever worn in-ear headphones? That should be a good guide. I’m a tall adult male, but I’m in the 5% that typically uses small tips, your height and age have nothing to do with the width of your ear canals. I can put my small Etymotic IEM tips on these earplugs, however standard size tips here fit me ok to wear for several hours because the silicone is soft and the “core” is really thin no matter which diameter flanges you use.

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🔇 Hear More, Miss Less: Protect Your Ears in Style

READY FOR ACTION - Includes neck cord and carrying case for on-the-go convenience
BUILT TO LAST REUSE - Durable, reusable earplugs with easy removal pull tab
DISCREET COMFORT ALL DAY - Low-profile, stem-less design fits comfortably under hats and helmets
PRO LEVEL HEARING PROTECTION - Up to 20 dB sound reduction to safeguard your ears without muffling
CRYSTAL CLEAR SOUND ZERO COMPROMISE - Preserves speech and music clarity even in loud environments

Etymotic ER20XS earplugs provide professional-grade, high-fidelity hearing protection with up to 20 dB noise reduction. Their low-profile, stem-less design ensures discreet, comfortable wear under any headgear, preserving natural sound clarity for speech and music. Reusable and portable, they come with a neck cord and carrying case, making them perfect for loud events and work environments.