I used this while working a a boy scout camp for a few summers as the first aider.  Boy scouts in Ohio know how to find ticks and get them in some strange places.  Following the CDC guidelines on tick removal this tool is the simplest tool for the job.  Getting the whole tick is the most important thing when removing the tick. Often when using tweezers you can leave the head.  With Ticked Off you just slide the spoons v shaped notch under the back side and around the head of the tick and lift straight up slowly.  I've pulled over 500 ticks off scouts and have never left any part of the tick behind.  They even work for those pestsy seed ticks that are so small you can barely see them.  Small enough to put in a backpacking first aid kit, light enough to keep attached to your dog's leash.