There are smaller ones, actually, that fit inside the ear out of site, but the last I heard my insurance won't cover them. I think I'm going to try for them again, though. And yes, they have volume control, otherwise a bunch of people like me, who aren't completely deaf, would be running around clutching our heads and shreaking in pain. That's the worst part about them - they don't just increase the volume of people's voices, they increase EVERYTHING. Yesterday, downtown, I heard the trains top TWO STOPS AWAY.