I also have witnessed several frenotomies. I remember the first time I approached a M.D. with a suggested frenotomy, definitely not the right person!! I have had better luck with dentists. I have never seen any anesthesia administered nor was it necessary. Babes went immediately to breast and bleeding was very minimal. I used research done by Chele Marmet to convince dentist of the necessity of the procedure. The paper I have lists, step by step, how to perform a frenotomy according to Dr. Marmet. Anyway, if Ped doesn't consent to procedure, you may want to pursue a dentist. Speaking of dentists, thanks to all of you that wrote to me about Anna's teeth. I am still searching for a toddler breastfeeding-friendly dentist. I have decided to take a wait and see approach. In the meantime, we are practicing immaculate dental hygiene and limiting all contacts except breastfeeding. Your support and expertise really helped me through this, and Anna and I thank-you all. Before I moved to the major metropolis of Savannah, GA, I lived in the small town of Jesup. I taught an Intro. and Advanced BF class that was part of the prepared childbirth curriculum. The classes were titled Infant Feeding but I did not mention bottle feeding except for a section on the Hazards of ABM. I found Marsha Walker's paper to be all that needed to be said. I also passed a can of ABM around the class, and had the participants try to read the list of ingredients. If they were able to pronounce them, they certainly didn't know what they were. The audience was very captive and the majority of moms did initiate BF. IMHO, when it comes to artificial feeding, the less said the better. After all, if you want to find out what isn't most like mother, you can always turn on the TV. Pam Holland, IBCLC [log in to unmask]