. Ankyloglossia is estimated as a contributing factor in 12.8 percent of breastfeeding problems (Ballard, Auer, & Khoury, 2002). For many babies, breastfeeding can be preserved only with timely treatment of ankyloglossia. When recognized, referrals can be made to the primary health care provider and potentially a provider surgically trained to perform a frenulotomy in an effort to achieve normal, effective feeding at the breast. Parents should be educated about their options and have their decisions supported. A team approach with lactation consultants can help nurse to refer for necessary medical evaluation and possible intervention