A bone conduction hearing aid includes an in-the-ear (ITE) component and a behind-the-ear (BTE) component. A bone vibrator is carried by the ITE component and positioned in the concha of the ear when in use. A vibrationally conductive structural member of the ITE component conducts vibration produced by the vibrator into the ear canal. From there, the vibration is transferred to a cochlea of the user by way of the mastoid bone, enabling enhanced hearing perception in patients with hearing loss.