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selecting the appropriate needle size is very crucial to obtain optimal efficacy in your treatment and also to improve the experience of your patient during the treatment in this video we will explain how to select the best needle size for your treatment and we will show you some live examples to make you visualize what are the differences between needles of different sizes there are two variables related to needle size diameter and length the diameter of an acupuncture needle can range from 0.16 millimeter to 0.30 millimeter with the 0.20 and 0.22 millimeter being the most commonly used the length of an acupuncture needle can range from 18 to longer for special types of long needles the ones we use the most commonly in the clinic are 25 and 40 millimeter long thicker needles will produce a stronger dirtier or needling sensation but the insertion is more painful than thinner needles and the after effect is also stronger thicker needles tend to burn less than thinner needles which make