It depends on individual physiology, some people have eustachian tubes like railroad tunnels and have no trouble equalizing, while others have tight ones and st

It depends on individual physiology, some people have eustachian tubes like railroad tunnels and have no trouble equalizing, while others have tight ones and struggle. You eventually learn your own personal best technique; I know that if all else fails, I can tilt my head back and look directly up while equalizing. The sounds you hear during this process are pretty entertaining, too. Think of an elderly cat with a head cold, snoring.