I have trouble hearing in noisy environments. When I was young I was diagnosed with an auditory processing problem so I assume it's related to that.
When I meet with someone in a noisy environment I just accept that I'm only going to understand every other word that someone says. Which leads to a lot of smiling and nodding blankly.
I know very expensive hearing aids could handle this for me but it's not a big enough problem for me to check into that route. However if this was $150 bucks or so I might get some. Though I expect the price tag will be more like $600.