Use this Surgical Steel 00 Gauge flanged earlet for a 00 gauge ear piercing or you can stretch your 2 or 0 gauge piercing to a 00 gauge using a taper. Surgical Steel earlets come complete with o-ring. Our Earlets are flanged which means they look better and will not fall out. A flanged earlet will not pull through your ear. It stays flush against the lobe of the ear.