In a world with many choices for hearing rehabilitation, this panel will address common themes in cochlear implantation. We will review several cases which highlight the decision making for diagnostic testing and patient selection. Additional cases will highlight the various electrode choices and strategies for post operative care, including programming options. Panelist will share tips on patient pre and post operative counseling to maximize patient satisfaction. Finally,  panelists will also discuss the option of cochlear implantation within the context of local resources and ways to maximize patient outcomes in under resourced environments.