The cost, plus a year of speech therapy at the hospital and back-up equipment, is almost £52,000 and is being paid out of the family's health insurance. Mr Pearson said: "We knew that time was of the essence and that it wouldn't be as fast on the NHS." Speech therapist Natalie Opitz, who works at the Portland, said: "Ava is the youngest baby I have seen have the operation in this country. This is a remarkable case but it could be the norm for all deaf children."