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Surfer's Ear · Exostoses · Northland

Northland's leading
ear surgery specialist

Dr David Waterhouse, FRACS, subspecialty fellowship training in Otology

Muffled hearing, water trapped in your ears, recurring infections. Surfer's ear is very treatable. David treats patients from throughout New Zealand, including professional athletes and commercial divers.

Sound familiar?

These are the signs of exostoses: bony growths that slowly narrow the ear canal.

Muffled hearing
Water gets trapped
Recurring ear infections
Ears slow to drain
Fullness or ringing
Pain when water enters
Surfer, diver, or swimmer
GP mentioned bony growths

What is surfer's ear?

Surfer's ear, or exostoses, is the slow growth of bony lumps inside the ear canal. It is caused by repeated exposure to cold water and wind. Over years of surfing, diving, or paddling, the canal gradually narrows until water starts trapping, infections follow, and hearing begins to muffle.

Northland is the home of surfer's ear. We are surrounded by some of the best coastline in New Zealand, and most of our population love the water all year round. Whether you are surfing the west coast, diving the Poor Knights, spearfishing the Hen and Chickens, wing foiling the harbours, or swimming year-round, the combination of cold water and wind creates exactly the right conditions for bone growth to accelerate.

Growth is slow and painless for years. By the time most people notice symptoms, the narrowing is already well advanced. Early assessment is worthwhile. Surgery is straightforward, and most patients are back in the water within weeks.

Below 19°C
Growth trigger
Cold water and wind together accelerate bone formation inside the ear canal, typical Northland conditions for much of the year
Years
Silent progression
Most people spend a decade or more in the water before noticing symptoms. By then, the canal is already significantly narrowed
Weeks
Typical recovery
Minimally invasive surgery means most patients return to the water within 2 to 6 weeks of their operation
Day
Procedure
Home the same day
Min.
Invasive Technique
Faster healing, less downtime
Hundreds
Happy Patients
Including professional athletes and commercial divers
Precision under the microscope

Exostoses surgery demands both experience and technique. David performs this procedure regularly, using a minimally invasive approach that means less recovery time and a faster return to the water.

Surgical Technique

Modern, tailored surfer's ear surgery

Dr Waterhouse offers a modern, minimally invasive approach to surfer's ear surgery. In many suitable cases, exostoses can be removed through the ear canal or through a small incision at the front of the ear, avoiding the need for a traditional incision behind the ear. This means many patients do not require a healing wound behind the ear at all.

Rather than using a one-size-fits-all technique, David customises the operation to each patient's ear canal anatomy, the severity and shape of the exostoses, and the patient's symptoms and goals.

He has extensive experience in the latest otology techniques, including endoscopic ear surgery, piezo microsurgery, microchisels, and coarse diamond burrs, allowing precise removal of the bony narrowing while protecting the delicate ear canal skin, eardrum, jaw joint, and facial nerve.

Most operations take approximately 60 to 90 minutes, depending on the severity of the narrowing and the technique required.

Endoscopic Ear Surgery Piezoelectric Bone Surgery Custom Microchisels Coarse Diamond Burs

Northland's ear surgery specialist

Dr David Waterhouse, FRACS, Subspecialty Fellowship in Otology

Dr Waterhouse is one of the highest volume exostoses surgeons in the region, having performed hundreds of successful surgeries. His minimally invasive technique means faster healing and a quicker return to the water.

David treats professional athletes, commercial divers, and everyday water lovers who simply want to hear clearly again. As a keen diver himself, he knows exactly what is at stake and what getting back to the water means.

Treatment is covered by most major health insurance policies. David is an affiliated provider with Southern Cross Health Insurance, and works with all other major New Zealand health insurers. Please ask our team when you get in touch.
FRACS Subspecialty Fellowship in Otology High Volume Exostoses Surgeon Southern Cross Affiliated Minimally Invasive Technique Based in Whangārei

Not based in Whangārei? No problem.

We streamline your journey so you spend less time travelling and more time in the water.

1
Virtual Consultation
Discuss your symptoms with Dr Waterhouse from anywhere in New Zealand
2
Local Hearing Test
We arrange a hearing test at a clinic near you, no travel required
3
Home Ear Scan
We send a device to your door so David can visualise your ear canal remotely
4
Surgery & Follow-up
Travel to Whangārei for your surgery and post-operative care

How to get seen

No referral needed. Contact us directly.

01

Contact us

Call, email, or fill in our contact form. You can refer yourself. Bring a current hearing test if you have one.

02

Assessment

David examines your ear canal, reviews your hearing test, and tells you clearly whether surgery will help.

03

Surgery and recovery

Day procedure under general anaesthetic. Minimally invasive technique for the fastest possible return to the water.

Common questions

Everything you need to know before getting in touch.

Do I need a GP referral?
No. You can contact Dr Waterhouse directly by phone, email, or our contact form. No referral needed to get started.
Is surgery covered by health insurance?
Treatment is covered by most major New Zealand health insurance policies. David is an affiliated provider with Southern Cross Health Insurance, and works with all other major New Zealand health insurers. Ask us when you get in touch.
How long is recovery?
Most patients return to the water within 2 to 6 weeks of surgery. David's minimally invasive technique means faster healing and less downtime than traditional approaches.
What if I'm not based in Northland?
No problem. Virtual consultations, home ear scan devices, and locally arranged hearing tests mean most of the process can happen wherever you are. You only need to travel to Whangārei for surgery.
How do I know if I need surgery?
If water regularly traps in your ears, you have recurring infections, or a GP has mentioned bony growths, it is worth an assessment. David will tell you clearly whether surgery is warranted.
Is surfer's ear common in Northland?
Very. Northland's year-round water culture, cold winter sea temperatures, and coastal lifestyle make it one of the highest-risk regions in New Zealand for exostoses.

Ready to sort your ears?

Call us, email, or use our contact form.