We set up the appointment at her pediatricians office. I honestly would not go anywhere else to get her ears done. At my office they let me mark off where I’d like them done. Then my husband and 2 other nurses checked to make sure the dots were even. The actual process itself took maybe 3 minutes? Not gonna lie, as soon as they pierced the first ear she did get upset. But as soon as they were done we gave her a bottle and she calmed down. 😊 They used surgical grade steel instead of traditional gold or silver because there is less chance of an allergic reaction. My office did offer the plastic earrings but I chose to go with the steel instead.