I don't know, you might end up with her tugging on her ears because of discomfort from the tubes...and that would hurt her. It seems like you might also be risking infection, which could be problematic. I tend to think that having ear problems to begin with can be compounded by piercing while she is a baby and maybe you should wait for piercing her ears--the tubes were obviously necessary but piercing is elective. Also, there is the pain factor. I am sure she experienced at least a little pain when she got the tubes put in her ears, so why make her go through more? Besides, what does your doctor say? How about using fancy little stickers on her ears for now rather than piercing, so she can get a head-start on being glamorous like her big sister? They do make very nice and small, good quality stickers which you can find in the nicer boutiques. It is a safe option and you'll fool everybody. Besides, that way you can wait until she is old enough to appreciate having pierced ears like her sister and it may make the whole experience a whole lot more tolerable for you both. You know, I just thought of something. Why not have them pierce her ears at the hospital when she has the tubes removed? That way she will not experience the pain and it can be done safely when you know there is not nearly as much risk as you're suspecting there is currently? That's what I think.