Where do I start? It is extremely rewarding on so many levels! I have had the very good fortune of working in different countries: high, middle and low-income countries, in the private sector and NHS, employed and self-employed, and more recently in the academic arena lecturing and conducting research. The happiness on a parent’s face when you confirm their child can hear properly or that there are options for those with hearing loss, to the joy at being able to hear conversations and participate in life for someone you have just fitted hearing aids to for the first time, the appreciation of students and their loved ones on graduation day, or just seeing the joy and relief when you remove impacted wax from someone’s ear… the list is endless. And sometimes it’s the smallest things we do that can make the biggest difference.