I usually share a few stories about other babies who have needed frenotomy. One of my favorites is of a mother who presented with her extremely tight frenulum child. I usually ask if momor dad has a similar condition and she said, "I used to." "What do you mean 'used to'?" She went on to share that when she was in high school she and her boyfriend were sharing some passionate kissing and he ripped it. That makes me and anyone I share it with cringe. Since a simple snip would have prevented and avoided that whole scenario it usually makes parents consider the ramifications of not doing the frenotomy. We also talk about the speech problems, the teasing because the child can't stick their tongue out or lick an ice cream cone. All real life issues that aren't always considered. I posted not long ago about using the ATLLF tool to show that there are scientific measurable criteria developed to assess and determine whether this procedure is warranted or unnecesary. Is there a solid reason besides the lame, "we don't do those anymore" with research based evidence to support it? Gretchen Andrews, BA, IBCLC private practice, So Calif, USA doing hospital rounds this summer 7 days/week and having fun! *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html