A wireless communication system (20) includes a wireless network (30) that selectively modifies an aggregation of voice over internet protocol wireless transmissions. In one example, a mobile station geometry provides an indication whether modification of the aggregation is desirable. For example, a mobile station with a better geometry allows for a higher level of aggregation. Another disclosed example includes determining a current cell load condition and increasing the amount of aggregation and the level of aggregation as cell load conditions increase. Another disclosed technique includes staggering the scheduling of aggregated packets to avoid delays at a scheduler. One or more of the disclosed techniques may be used to efficiently transmit voice over internet protocol communications.