Since reliability is an important topic for hearing implant recipients and surgeons, MED-EL publishes reliability reports regularly. But there is more to reliability than high cumulative survival rates. Manfred Pieber and Marcus Schmidt discuss the aspects of design and technology that contribute to implant and audio processor safety and reliability, including structure preservation and independent safety capacitors. Weblinks: Reliable Cochlear Implants by Design from MED-EL (medel.com) Cochlear Implant Safety and Reliability (medel.pro)