It is so sad that the myth persists that babies must be generally anesthetized in order to have a simple frenotomy. I just photographed (pre-and post-procedure) the 2nd baby this Fall whom I sent to a pedi ENT for clipping. There are several in Austin who do the procedure. They put topical anesthesia on either side of the frenulum, and on top of the tongue, and then make the snip. It takes a second. The baby I saw today had been FTT and mom had a stripe across the nipples. Frenulum was attached at the tip, and the extension and lift of the tongue was severely impaired. (This was the baby I mentioned last week whose parents and older sib. all had tongue-tie.) She looks great today, 6 days after my original visit and 4 days post-frenotomy. Tongue is completely healed, and baby is up 10 oz. on bottle feeds. Put the baby to breast, and she latched beautifully, and was able to nurse 1.3 oz (total) from both breasts (confirmed with test weight) before fatiguing. The tongue needs strengthening, so we will do short frequent breastfeeds, some "exercising" during non-nutritive sucking on a pacifier, and top off with post-feed pumped milk if necessary for another day or two. Mother was heartened to see baby do so well after being totally unable to nurse. Roberta Graham de Escovar is hear with me from the Yucatan. (You all remember the Mexican Milk Maid) She accompanied me today, and sends love to all her friends far and wide. Barbara Barbara Wilson-Clay BSEd., IBCLC Private Practice, Austin Texas Visit the "LactNews-On-Line" Web Page http://www.jump.net/~bwc/lactnews.html