Need general anesthesia??? Gimme a break! My ENT friend down the hall does frenulectomies in the office using topical lidocaine jelly applied with a Q-tip! (No "pre-op fasting time", either.) And, he encourages mom to nurse baby immediately afterward. "So she can see how much it really helps the nipple soreness." Becky Saenz, MD Assistant Professor University of MS Medical Center Department of Family Medicine [log in to unmask]