Not every individual who benefits from myofunctional therapy has a tongue-tie or needs a frenectomy. Many people respond beautifully to therapy alone, so the decision is always based on function, not just “what it looks like.” When an individual does truly need a tongue-tie release, we recommend scheduling pre-surgical myofunctional therapy first. Why? Because therapy helps reduce compensatory patterns, builds awareness of where the tongue is supposed to rest, and teaches foundational skills tha