I should have said "immediate perfection (in feeding) after frenotomy is 
uncommon".  There is often vast improvement if, as Kathy Leeper writes, 
the frenotomy is extensive enough.  Far too many docs only do a tiny 
snip, in effect reducing a type 1 (100%) tongue tie to a type 2 (75%) or 
3 (50%), which can still be problematic.
Catherine Watson Genna, IBCLC  NYC

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