In 50F water I wear a kokatat tropos top + farmer john + a thin hood. The water here is always about 50.
Silicon ear plugs are recommended. A friend had to have the surfers ear surgery and having your ear basically removed so they can drill out the bone growths is not appealing.
I have 3 hoods, a skull cap to go under my helmet and full hood made from NRS 'mystery' material (rubberized lycra) and a full surfers hood for winter rolling with the lake water around 40F.
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