Introduction: Communication difficulties arising from damage to hearing directly affect quality of life. Difficulties in communication may result in deviations in the emotional and social development and can have a significant impact on the quality of life of every person. ----- Objective: To evaluate the communication skills and the quality of life of people with hearing impairments with regard to the degree of hearing impairment, as well as social and emotional difficulties they face. ----- Patients and Methods: The study will include 50 patients with hearing loss at the age of 25- 55 years who came to regular hearing control at the Clinic for diseases of the ear, nose and throat and head and neck surgery in the period from 2012. to 2015. years. Medical history review, examining the existing medical records and the results of the diagnostic procedures will be the general data, the possible cause of hearing damage, when the damage occured, lasting duration, mode of communication in the family and the environment, the quality of life for each subject. Test for the social and emotional difficulties of people with hearing impairments will be used HHIa questionnaire, and SF36 questionnaire assessing quality of life. ----- Results: Most of the respondents have hearing loss in both ears, which have been classified as one of the moderate hearing losses. Testing distinction of words frequency and intensity balanced at standard rate showed that most respondents understand the words that are used in everyday communication, the harder they understood the words that contain a group of consonants "dn", "pr“ and "št" because the frequency of less frequently used in our language and have relatively low levels of language competence. Self-assessment of quality of life related to health is the worst in the field of health that reflect the vitality, mental health and general health perception. HHIa questionnaire and the social and emotional domain differs significantly individual auditory threshold levels in all of the observed frequencies and in both ears. ----- Conclusion: Difficulties in communication may result in deviations in the emotional and social development and can have a significant impact on the quality of life of every person. Regular checks of hearing and timely diagnosis contribute to improvement of speech understanding and therefore better functioning in everyday life as a successful factor in resolving further emotional, social and psychological conditions. With modern hearing aids hard of hearing people achieve improvement in speech understanding and a better quality of life. Due to modern lifestyles and the increasing number of factors that can cause hearing loss is necessary to carry out preventive measures to prevent hearing damage.