In the clinic, balancing the technical tasks and the valuable services can be a challenge. It is well documented that real ear measurements not only ensure match to target and audibility, but also have a perceived value to the patient. The gain verification is clearly worth the effort, but the question is, ‘how much effort?’ Best practices around real ear have evolved with hearing aid technologies, but keeping abreast of the changes can be time consuming in itself. Other clinical activities such as marking impressions, completing feedback initialization, airing zinc air batteries, all grab precious minutes, but are they worth it? Another well documented concept is the value of the clinician and time spent counseling the patients. The goal of this presentation is for practitioners to be able to identify ways to tighten up time spent on tasks that are clinically important but low value, as perceived by the patient. An interactive survey will be used during this presentation.