Tongue tie surgery can still be done at age 9. Your child can still have tongue tie surgery at age 9, but may need to have postoperative speech therapy as an adjunct. This is because 9 year olds often have developed poor articulation habits and will need speech therapy after tongue tie surgery to improve the articulation problems caused by the short tongue tie. There is no mandatory age requirement for tongue tie surgery, and the best time for surgery is usually during infancy. The tongue tie is a thin strip of tissue that connects the tongue to the floor of the mouth when the child opens the mouth and tilts the tongue up. A short tongue tie can interfere with the forward projection of the tongue and prevent clear speech. Treatment options for a short tongue tie include surgery and speech therapy, which in turn include tongue tie correction, tongue tie clipping, and other modifications. If tongue tie surgery is needed, you should take your child to the hospital for a complete examination and choose a treatment plan after a comprehensive evaluation by the doctor.