Medium - Earphones Plus brand replacement earphone cushions 10 pair assortment: 4 memory foam earbuds, 4 triple flange ear tips, and 12 standard replacement ear cushions For ear canal fitting earphones with connection size of approximately 7/32" (5.5mm) up to 1/4" (6.2mm) IF A SLIGHTLY SMALLER SIZE CONNECTOR HOLE IS NEEDED - use keyword M-TRI2-SQ2-B6-CLR or M-TRI2-SQ2-B6-BLK (black version) 2 pairs, silicone tri-level tips, 6 pair silicone standard tips, and 2 pair memory foam earbuds Each model also sold separately on Amazon - click on the EarphonesPlus link above Same assortment in other sizes (use SKU as keyword): Small - S-TRI2-SQ2-C6-CLR; Large - L-TRI2-SQ2-C6-CLR