02/09/2026
It depends. Before that question can be answered, it’s important to determine whether a true functional restriction is present.
Not all children suspected of having a tongue tie have tissue that is functionally limiting.
And not all feeding, speech, or breathing concerns are caused by restricted oral tissue.
Myofunctional therapy and surgical release address different aspects of care.
Myofunctional therapy focuses on function - how the tongue, lips, jaw, and orofacial muscles work during feeding, swallowing, speech, breathing, and at rest.
A surgical release addresses structure - restricted tissue that physically limits mobility when a true restriction is present.
Some children make excellent progress with therapy alone.
Others, following a comprehensive functional assessment, are found to have a true restriction and may benefit from a release in conjunction with therapy.
One purpose of myofunctional therapy, when restriction is suspected, is to assess function, improve strength and coordination, and help determine whether tissue restriction is contributing to symptoms.
When a release is indicated, pre-therapy also supports improved post-release outcomes.
Most importantly, decisions regarding tongue or lip release should never be based on appearance alone.
They require a thorough functional assessment, consideration of symptoms and response to therapy, and collaboration with appropriately trained release providers.
Our approach always begins with function first - allowing recommendations to be guided by clinical findings, not assumptions.