Easy Instructions: Using one hand, gently lift top ear up to expand ear canal. With other hand, use stem to guide ear plug into comfortable position. If necessary, adjust ear plug for enhanced sealing performance. Cleaning: Wash with mild soap and water. Dry thoroughly before re-inserting into ear. Important: Store ear plugs in case to keep clean. Note: If ear plugs become cut, cracked or unpliable replace with a new ear plug. Inserter is not designed to be removed.