I've never worn an ear cuff before, but I've worn this nearly every day since I got it. It took some effort to get it the right size (first too big, then I made it too tight). I needed pliers to adjust it, and the jewel did make that a little more difficult. But now that it's right I don't even feel it, and love how subtle and pretty it is. A winter hat can pull it off, but everyday wear hasn't knocked it off my ear at all. No allergy issues, but I'm not prone to issues with earrings.