Ear infections are not fun! My son is now 2 1/2, and got tubes in his ears on March 16th (at 23 months). For him, that was the right choice. It is a very hard choice to make, and I was afraid to do it, afraid I was making him get something done he didn't need, or that it might not even help. The ENT told me that 1 in 4 children still get ear infections with them, and most will still get 1 or 2. The tubes stay in anywhere from 4 months to a year. My son has had them in for 7 months (today) and they are still working well. He has not had one ear infection since he got them. Before he got them, we were in the same situation as you. Amoxicillin doesn't work for him, cefzil did, but they started to wonder if it ever went away at all, because within a few days of finishing antiobiotics, we were back in. Luckily, at that time, I was a nanny and able to take him in to his regular Dr during the day, and bring the other child with. He started getting ear infections at 4 months old, and had quite a few until 16 months, when he stopped going to daycare. Then he didn't get one for 4 months, and I thought we were going to be lucky. Then around Thanksgiving last year, he got one. I wasn't worried, one after 4 months wasn't too big of a deal. But then they were constant. We finally saw an ENT in Feb, who wouldn't give me any opinions, just told me how the tubes work, and everything like that, but not what he thought for my son's situation. I wanted an opinion from him, but because they are not necessary, they don't give you an opinion. You can either put your child through a simple surgery (and being put to sleep) to save them the pain of ear infections, or deal with them all the time. The ENT said a lot of parents will schedule it for a month out, and cancel if there aren't any ear infections during that time. I did that, though I knew he would have 2 during that time (ended up being 3, he got one the day of the surgery, but it went away without meds). The surgery wasn't that bad. They let you hold them while they put them to sleep. Then they take them into a 15 minute surgery, and bring you in right away when they wake up to hold them. All children wake up crying, so you do need to be prepared for that. Then motrin for a few days, and ear drops, and it is over. My son has done great since his surgery, I was really unsure whether to do it, but now I know that I made the right choice for him. People told me more sleep, less time outside in the winter, vitamins... we tried it all, nothing helped him. He went to a chiropractor, and still does, but that did not help it either. He was off his pacifier and bottle by a year old. The tubes were a simple thing that have saved him a LOT of pain, and sleepless nights, and constant antibiotics. Now I just hope that when they fall out, he has outgrown his ear infections and won't need to get them put in again... I hope this helps you a little. Every child is different and it is hard to know what is right for them, but I have been through it and I know how hard it is. I hope you find the right choice for your daugther!