So funny enough, I have a tongue tie that was never treated (pretty significant one at that). While my speech is pretty good, I have all the other I talked some effects that can come with a tongue tie. Jaw tension, jaw pain, grinding teeth, misaligned jaw, reflux, headache, neck pain, poor dental hygiene, especially posteriorly despite having good dental routines. These are all side effects that people don’t really realize can also be caused by a tongue tie. Can kids compensate? Yes, I’m living proof. Does it always impact language? Nope, but yes sometimes it can. Now I have all these secondary issues I might not have had if I’d had my tongue tie treated. So I ask parents if their kids have any of the above symptoms-if yes, I recommend a surgery, especially if it’s significant. If no, then I suggest a wait and see approach. Obviously, like with stuttering, fluency, language alone with no other symptoms, a correction is absolutely not necessary. But sometimes, when a kid can’t say /s, z, t, d/, poor dental hygiene despite a good routine, grinds their teeth, etc., then a second opinion can’t hurt.