It isn't a problem at all, you can see a bad picture of one of my bikes in this thread, though I've the mirror folded out of the way in this shot. A slightly better picture here.
Basically, if you don't have the Ergons with the integrated bar end, the cap at the end of the grip comes out and the mirror is inserted. This mirror rocks and has served me well. I have one on both of my bikes that are meant for road use.




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