We introduce proactive hearing assistants that automatically identify and separate the wearer's conversation partners, without requiring explicit prompts. Our system operates on egocentric binaural audio and uses the wearer's self-speech as an anchor, leveraging turn-taking behavior and dialogue dynamics to infer conversational partners and suppress others. To enable real-time, on-device operation, we propose a dual-model architecture: a lightweight streaming model runs every 12.5 ms for low-latency extraction of the conversation partners, while a slower model runs less frequently to capture longer-range conversational dynamics. Results on real-world 2- and 3-speaker conversation test sets, collected with binaural egocentric hardware from 11 participants totaling 6.8 hours, show generalization in identifying and isolating conversational partners in multi-conversation settings. Our work marks a step toward hearing assistants that adapt proactively to conversational dynamics and engagement. More information can be found on our website: https://proactivehearing.cs.washington.edu/