Size six ear gauges are considered to be larger than average. Most earlobes are initially pierced with an 18- or 20-gauge needle. Gauge sizes typically range between size 20 and 00, with 00 being the largest.
People are advised to consult with a piercing professional prior to gauging their ears. Ears should be gauged gradually in order to allow for enough healing time between the gauge sizes. Jewelry-grade surgical stainless steel rings or plugs are used to expand holes in earlobes. This kind of material does not absorb bacteria that cause infections. Wooden or plastic pegs should not be used in gauged earlobes until completely healed.