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When our daughter's first implant failed in 2001 she was 14 and involved completely in the decision to be re-implanted.  Since then we have brought up the possibility of going bi-lat a few times but she does not want to do it.  We have not brought it up to her in the last few years as it is her decision to make.  She knows she can do it, has a lot of friends who have done it but has no interest in doing it, her decision.