<s>[INST] Dear Doctor I have two and half year old son and he has been diagonised to have tongue tie.  He is able is to speak abt 10 words like amma, daddy, thatha, mam, kaka, bye etc. Rest of communications are in action.  I would like to know whether he can pick up his speech by theraphy or needs a surgery.  He is already joined school and want him to speak fluently as his mates as soon as possible please suggest. [/INST] Hi. Welcome to Chat Doctor . As per your complaint Ankyloglossia or Tongue tie is a condition in which the attachment of the tongue to the floor of mouth is a bit longer due to a longer lingual frenulum [fold of mucosa under the tongue that attaches the tongue to floor of mouth]. When it is long it attaches the tongue and restricts its movement that is needed to speak a certain word. But a good part is that it can be very well improved with treatment, and you can get frenulectomy done in which the excess attachment will be reduced, and the tongue will become free that will help in easing in speech. It is a minor surgical procedure, so you need not worry and should get it done soon so that your son can speak well and at this age it will not require extensive speech therapy if treated. Hope this helps. Regards. </s>