Hello. I am Meg Wright, Physician Assistant & LLLL. I am counselling a woman whose 10 day old son has a thick frenulum. I.E. I have not seen him move tongue over lower lip. and when he cries the tongue appears forked. I am precluded from any real physical exam as my contact with this woman is LLL not as a P.A. When she called describing the situation, I suggested she get it clipped and explained that it is very low risk. (I personally have clipped two and one did not even bleed; the other only very slightly.) Meanwhile, Mom has very sore nipples and doesn't feel like he's "on right." Today I rented her a pump because she is pumping alot and feeding with bottle because of pain at nipple and his difficulty latching on. Of course I discussed nipple confusion and described cup feed/dropper feed, etc. The reason for her hesitancy to get him clipped is because she talked to a speech pathology professor who told her that if a frenulum is clipped "too far", it would cause the child to never be able to utter a certain 2 or 3 sounds in the English language. I tried to point out that some of the risk -benefit ratio may be being skewed. Later I asked if the prof . had ever seen a kid who'd been clipped too far and gently wondered aloud that this clipping too far risk may be a a very rare complication. I have already discussed difficulty of long term pumping , nipple confusion etc. with her. Either the baby's frenulum will stretch or she may come around to getting it clipped if I can give her some documentation and or opinions of other speech pathologists. She seems committed to breastMILK, but not to breastFEEDING--as her fear is the (improbable?) clip/language complication. Any help will be appreciated. Thank you. Meg Wright, PA-C, LLLL