Q: My daughter is now two and a half months old, and when she went to the hospital for a checkup, she was found to have a short tongue tie, and she was afraid that it would affect her future language learning. I am confused when is the best time to operate? If the congenital tongue tie is too short and affects normal tongue movement, tongue ligamentoplasty should be performed, preferably before the child learns to speak. Q: Can a short tongue tie delay a child’s speech development? No. In fact, a short or anteriorly displaced lingual ligament does not delay the child’s speech development, although it may have some effect on the clarity of speech, but it does not delay the child’s speech development. Q: When do I need a tongue ligature? The tip of the tongue cannot touch the upper row of incisors or forms a McDonald’s M shape when sticking out of the lower lip, which is usually treated surgically. Q: My child is 5 years old, do I need anesthesia for the procedure? Anesthesia is required if the child is older. At present, most of the surgeries are arranged under general anesthesia, and the sutures can be removed 4 to 5 days after the surgery. For uncooperative children, the sutures can be left to fall off on their own without removing the sutures.