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Drs Hall and Renfrew provide a perspective on tongue tie. The recent "epidemic" of frenulotomy in the UK is related to the relationship between ankyloglossia and breast-feeding. Some clinicians believe that the failure to successfully breast-feed is often related to tongue tie. What is unique about this perspective is that both authors share their biases about ankyloglossia. This is an honest approach when offering opinions in the form of an editorial or perspective. Data are often limited or not applicable to a specific clinical scenario, yet experts often offer an opinion, and physicians must make a decision. The decision is often filtered through our own biases; what we read, what outcomes we think are important, how we balance cost, benefit, and risk, etc. Drs Hall and Renfrew are to be congratulated for not only the quality of this review, but the honesty with which they share their opinions with us.
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