This patient had an extra short muscle attachment at the base of his tongue causing him to be “tongue-tied”. With this dense, short muscle attachment the tongue had a severely limited movement. The patient also exhibited challenges with swallowing. The process for correcting this is virtually identical to a frenectomy, but due to its location, is called a Z-plasty. After the procedure was done, the patient had increased tongue mobility and noticed an immediate increase in swallowing function. Due to the severity of the condition, it may take two rounds of treatment to fully correct and restore full range of motion.