Millions of infants with tongue tie successfully breast fed. 1 or 2 years from now the AAP will publish the failure rates of breast feeding after this surgical procedure and certain complications like laceration of sublingulal vien and sub lingual salivary gland. More importantly occurrence of re adhesions at the site of surgery especially when the condition was not related to a visible membrane that the surgeon cut. I expect that this change of recommendations from absolutely not recommended procedure to may be of benefit will change back to original statement: surgery is not indicated.