At a typical bar/restaurant, sure, but then you look dorky which is a problem when trying to impress a date. That's also one reason why I use the tissue/napkin approach. I know just the amount to shove in so it rolls the highs off but still allows me to follow a conversation and it's in deep enough that my head would need to be turned to the side for anyone to notice there's something stuck in there. (If it's a recycled napkin then it's easier to blend with skin color.) Regular foam earplugs stick out too much and even if I tear them in half, they muffle things to the point where you can't hear any high end and lose all the consonants in conversations. However, as bad as my hyperacusis may seem, the way others describe theirs it's clear some have it a lot worse. There are all sorts of earplugs designed to attenuate at different levels and frequencies but I don't really trust them. My low-tech solution works perfectly for me, although it really let me down when I saw Mission Impossible at Imax, hence the additional damage I fear it did. Paper is just not good enough for 120bB explosions. At some point it becomes so loud the waves penetrates right through your skull regardless of earplug type.