For IBCLC · SLP · OT · PT · CST · birth · medical· dental professionals
A framework for tongue tie. So you can guide families with confidence.
You know tongue tie matters. You've seen families struggle.
What's been missing isn't caring harder - it's having a clear, step-by-step clinical approach that tells you
what to do first, what comes next, and how to bring the right team together.
That's exactly what you'll find here.
Not a professional?
Parent resources here →
35+
Years in Clinical Practice
300+
Professionals Trained
10
Countries Reached
22
States
28k+
2
Published Books on Amazon
YOU'RE NOT ALONE IN THIS
Most professionals feel underprepared for tongue tie
- and for good reason
It's not a gap in your commitment. It's a gap in your training.
Here's what we hear most often:
Every provider says something different.
I don't know what's actually evidence-based anymore.
My program never really covered this. I've been cobbling together information ever since I got certified.
I can see something is going on with this baby - but I don't have a system for thinking it through.
I want to guide this family all the way through - not just hand them off and hope for the best.
Choose your path
Education built for every stage of the journey
Whether you're just getting started or ready to go
all the way in, there's a resource here for you,
and for the families you serve.
For Professionals
The Confident IBCLC Masterclass: Introducing the
CAREFUL™ Framework
A focused, high-value masterclass that gives
you a structured clinical reasoning approach
to tongue tie assessment - so you know
what to do first, what comes next, how to
collaborate with your team, and how to guide
families all the way through. Students
consistently say it helped them think through
cases and finally feel like they have a system
* Live teaching presentation
* Recording available
* Function-focused assessment approach
* When to Support, Refer or Wait
* Open to all professionals
* Learn your role on the team
* Introducing the CAREFUL™
framework
* Guide families through the whole journey
The Professional's Guide to Tongue Tie
in the Breastfeeding Infant
The comprehensive clinical training for IBCLCs, SLPs, OTs, PTs, and all infant-feeding professionals. Evidence-informed, function-first, and team-based. Revamped and expanded - this is the deep dive.
For Parents
Parent's Guide to Tongue Tie Online Course
Clear, calm, expert-led guidance for families navigating tongue tie. Know what's happening, what to ask, and how to move forward with confidence.
Now available on Amazon
The reassuring, straightforward book families have been asking for. Available on Amazon in paperback and digital — and a great resource to recommend to your own patients.
What professionals are saying
From piecing it together - to having a system
I learned so much in the course and use what I learned daily. So thankful for Lisa's down to earth approach and the concise manner in which she shares information!I am really grateful for your course. NOW I feel everything is completed It is just set in my mind forever!
Dr. Anna Lichnowska,
Speech Therapist, Poland
I highly respect and endorse Lisa's professional program. We've collaborated extensively on treating infants with tethered oral tissues, where her expertise as an IBCLC is globally recognized. She's truly an authority in this field.
Dr. Scott Siegel
MD DDS
I loved this course and community! It perfectly blended my OT infant feeding work with my lactation background as a CLC. I use the exercises in my home programs and recommend it to colleagues—it's a must-take for anyone in the infant feeding space!
Cindy Napoli
ROT/L; CLC ; CEIM
About Lisa
I'm Lisa Paladino — and I've spent 35 years refining the system I'm now teaching you
As a certified nurse-midwife and IBCLC, I've worked with breastfeeding families in both hospital and private practice settings, which means the framework I teach is grounded in real clinical experience across every kind of care environment.
I've sat with hundreds of families navigating feeding challenges and watched what happens when the professionals around them have clarity versus when they don't. The difference in outcomes is significant.
What I teach isn't theory. It's the same approach I use in my own practice: assess function, build the right team, educate the family, and stay in it with them all the way through.
Frequently Asked Questions
Is Tongue Tie Experts open to all professionals?
Yes!! Our programs are open to all lactation, birth, medical, and dental professionals. We include body work, speech therapists etc...Anyone who is taking care of pregnant or breastfeeding families, or infants in any capacity is welcome! Why? Because most families give up on their feeding goals before they see a lactation consultant. Families need every one of us.
Is tongue tie a fad?
Tongue tie is a legitimate anatomical and functional condition—but like any area of healthcare, it’s vulnerable to misinformation. This platform helps you separate myth from evidence and understand when intervention is truly warranted.
Why is tongue tie often missed by healthcare providers?
Many professionals receive little to no training on oral restrictions during their education. Signs can be subtle, especially in newborns, and often present as feeding or functional challenges rather than visible anatomy alone.
Can tongue tie really affect breastfeeding that much?
Yes. Tongue tie can interfere with maternal comfort, ability to latch, milk transfer, poor weight gain, and maternal supply issues. It can also cause long-term functional concerns if left unaddressed.
Should every baby with a tongue tie have a procedure to release (frenotomy)?
Not necessarily. Assessment should focus on function, not appearance alone. Treatment decisions should be made collaboratively, considering symptoms, feeding goals, and the readiness of the family. AND surgery isn't the only method of treatment.
Can tongue tie affect bottle fed babies too?
Absolutely. While breastfeeding issues are often the first sign, oral restrictions can impact bottle feeding, airway development, speech, and more—regardless of how the baby is fed.
How do I know if I’m qualified to assess tongue tie?
Even if you're not diagnosing, you can be trained to recognize red flags and functional concerns. No matter your title, you play a vital role in identifying possible issues and referring families to the right support team.