OBJECTIVES: The main objective of this study was to evaluate the process in which patients with single sided deafness proceed to receive bone conduction implants. Factors contributing to decisions for or against implantation were also compiled. METHODS: Using a comprehensive search strategy, several online databases were searched to identify studies published since 2002. Research involving adults and children with single sided deafness (SSD); and reporting on patient preference for receiving BCIs were included. Screening of titles, and data extraction and quality assessment of full papers were undertaken by one reviewer with any uncertainties resolved by consultation with a second reviewer. RESULTS: CONCLUSIONS: When given the option to trial traditional treatments and BCI simulators/Headbands many patients with SSD reject BCIs. This research highlights the importance of providing such trials before implantation. It is still unknown which aspects play a role in decision making and identifying better candidates.