Hi Kris, I have an excellant article written by Chele Marmet, Ellen Shell and Rubin Marmet. He is an OB/Gyn and does fruenulum clipping in his office w/o any anesthetic. If you email me your address, I'd be happy to send you a copy of this article. Whenever I get a ped who is reluctant, I send him over a copy of this article to read, hoping to change his mind. Yaffa \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ Yaffa Stark, MA, IBCLC Los Angeles, Calif., USA "We must identify and reduce barriers which keep women from beginning or continuing to breastfeed their infants." C. Everett Koop, M.D., ScD. Former Surgeon General ////////////////////////////////////////////////////////////