Parents often think their child’s tongue is tied if he does not learn to talk as soon as the average child. If the tongue can be protruded beyond the incisor teeth it is sufficiently free for all purposes. If the frenum of the tongue is really short it will pull upon the tip of the tongue and produce a cleft in the tip when an attempt is made to extend the tongue. If this is the case, the tongue should be lifted and the frenum snipped with scissors. The reverse end of the surgical instrument called a grooved director is often made with a notch, so that when one uses it to lift the tongue, the frenum may slip into it and be firmly held while the surgeon makes the necessary division. Backwardness in acquiring speech is, of course, dependent on other causes.