I was so excited to receive this piece to use in my tragus piercing. I had a stud in for 2+ years and even though it's fully healed, wearing headphones still could be uncomfortable if they weren't put in JUST right. This earring has eliminated this problem! I personally didn't have any issues getting this in using an insertion tool. Yes, the diamond is small, but I used a ball grabber and didn't have any issues. Once my helix is fully healed, I may be getting another one for that!