My hearing was 60% shot in my left ear before surgery. I had tinnitus as well. In environments that weren't busy with lots of noise I could hear alright overall. Now I'm SSD after my translab 8 weeks ago. I have been saying that my tinnitus in my left ear is gone, but now I do notice some 'whooshing' there but not as much high pitched noises. Although I'm totally deaf in the left, sometimes SOMETIMES, it feels like there is directionality from the left. Other times (esp when it's more noisy) I have no idea where a sound is coming from. If there's background noise when I'm trying to carry on a conversation, that makes things more difficult but that was true prior to surgery as well. And, other times I think I'm more sensitive to some noises post op that I never paid attention to pre op. In both pre and post op, when it's an environment without background noise or not in an 'echo-y' environment, I can cope pretty well. Throw a little noise in, and that changes things a bit. I will definitely try a BAHA or transear, just waiting a bit.