Manual ear wax removal is a method of removing excess ear wax using instruments such as ear curettes, forceps, or suction devices. Here are some pros and cons of manual ear wax removal:

Pros:

1. Precision: Manual ear wax removal allows for more precision in removing ear wax compared to other methods, such as ear drops or irrigation.
2. Control: The person performing the ear wax removal has greater control over the procedure, which can be especially important for people with sensitive ears or those who are prone to ear infections.
3. No water: Manual ear wax removal does not involve the use of water or other liquids, which can be uncomfortable or even painful for some people.

Cons:

1. Risk of injury: There is a risk of injury to the ear canal or eardrum when using instruments to remove ear wax. This is especially true if the person performing the procedure is not properly trained or experienced.
2. Incomplete removal: Manual ear wax removal may not be able to remove all of the ear wax, especially if it is impacted or located deep in the ear canal.
3. Discomfort: Manual ear wax removal can be uncomfortable, especially if the ear wax is impacted or if the person has a sensitive ear.
4. Need for a professional: Manual ear wax removal should only be performed by a trained professional, such as an ear, nose, and throat doctor (ENT), or an audiologist. This can make the procedure more expensive than other methods of ear wax removal.

Overall, manual ear wax removal can be effective for removing excess ear wax, but it should only be performed by a trained professional and with caution to minimize the risk of injury or discomfort.