Hi, Martina and All: I believe I may have posted this information before on Lactnet, but it may bear repeating. There is a wonderful oral-maxillofacial surgeon in the Chicago area (NW suburbs) who willingly evaluates babies for possible tongue-tie on referral from us local LCs. He does a cold laser procedure (eliminates all bleeding!) in the office with the baby in a car seat on the exam table with parents present. His fee is very modest and covered by insurance. He has talked to us on a number of occasions on how he determines the need for a frenulectomy and how he does the procedure. He grasps the tip of the baby's tongue in his gloved hand and begins lasering the frenulum and underlying musculature until he feels the tongue "break free" from its restriction, then stops. He says he can literally "feel" when he has released the tongue. It is his opinion that most all breastfeeding problems related to a tongue tie involve a posterior tie and therefore it is important to cut until one feels the tongue release. We have tried to talk him into publishing his technique, but so far he has not done so. His contact information is: George Kotsakis, D.M.D. Diplomate, American Board of Oral and Maxillofacial Surgery St. Alexius Medical Center Doctors Building Two, Suite 506 1585 N. Barrington Rd. Hoffman Estates, IL 60194-1018 Telephone: (847) 884-7080 FAX: (847) 884-8894 Pam Hirsch, BSN,RN,IBCLC Clinical Lead, Lactation Services Advocate Good Shepherd Hospital Barrington, IL 60010 *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]