I am following the current discussion about tongue ties with great interest. I suppose that I am fortunate to work with a pediatric group which supports early clipping of the ties (and did, before I was gaining expertise in lactation issues). The physicians here have always done the clipping themselves, and now I do it too. We have never used anesthetic, and I question the need for it. The infants never cry once we have taken our hands out of their mouths and put them to breast. The mothers often (nearly always) report instantaeous relief and the infants have better feedings. It doesn't make sense to me to spend precious time trying to make things work without clipping if the delay means that mom and baby will be suffering and losing ground establishing the milk supply. I wonder if there are training seminars in place for physicians who want to learn the procedure. This may be a good place for lactation specialists to expend some energy. All the best for a very happy New Year! Mary Ryngaert, MSN, ARNP Pediatric Nurse Practitioner Gainesville, FL *********************************************** 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