Tongue tie

Service overview

Our tongue tie service offers assessments and advice for babies who are suspected of having a tongue tie. Our specially trained nurses will rectify the tongue tie through a simple procedure (‘frenectomy’) where it is severely affecting breastfeeding.

If your baby has a suspected tongue tie that is impacting on breastfeeding, you will receive a letter inviting you and your baby to attend an appointment with one of our specialist nurses who will assess the tongue tie.

You will need to bring your Personal Child Health Record ('red book') to the assessment.

At the assessment, the specially trained health professional will discuss your baby’s breastfeeding history and will examine your baby's tongue tie. You will also receive advice on breastfeeding.

Your baby may or may not then be offered the tongue tie procedure, depending on the level of impact on breastfeeding.

If the nurse recommends the tongue tie procedure, it will be undertaken during the appointment. Before doing the procedure, the nurse will explain what is involved in tongue tie separation, the risks involved and you will be asked to sign a consent form.

After the tongue tie separation we encourage you to breastfeed your baby and attend a breastfeeding café or group in your area within one week of the procedure so you can receive further support with breastfeeding if you need this.

No further treatment is usually required.

Please note: If you are unable to make the date and time offered, please call the tongue tie administrator (whose details will be on the letter) so they can offer you an alternative. If you no longer need or wish your baby to have the assessment, please call the administrator so the appointment can be offered to another baby.

To refer

Children can be referred by their health visitor, GP, therapist, early years' service, paediatricians based in the local acute or tertiary hospital, paediatric audiology, CAMHS or other agencies.

Referrals are made via the Children and Family Health Surrey One Stop, a centralised referral and triage service for Surrey's specialist children's services that was launched in July 2017.

The three ways to refer are:

1. Through the Children and Family Health Surrey One Stop online portal This is the same portal as the CAMHS Mindsight One Stop service

2. Call the Children and Family Health Surrey One Stop on 0300 222 5755. Open 9am – 5pm Monday to Friday. This is the same number as the CAMHS Mindsight One Stop service

3. Write to Children and Family Health Surrey One Stop, c/o Surrey and Borders Partnership NHS Foundation Trust, 1st Floor, Dominion House, Woodbridge Road, Guildford GU1 4PU.

For more information about the Children and Family Health Surrey One Stop service, visit

Teams and contact details

Mid Surrey area (covering Banstead, Dorking, East Elmbridge, Epsom, Ewell, Leatherhead and Tattenham)

Health Visitor Advice Line
9.30am-1pm Monday to Friday (excluding Bank Holidays)
Tel: 020 8979 6464

Area teamLocationTel
Banstead and Tattenham 0-19 Team
Tattenham Health Centre 01737 361 031
Dorking 0-19 Team
Medwyn Centre
01306 748 901
East Elmbridge 0-19 Team
Molesey Clinic020 8979 6464
Epsom and Ewell 0-19 Team
Epsom Clinic01372 730 040
Leatherhead 0-19 Team
Leatherhead Clinic01372 384 300

East Surrey area (covering Redhill, Reigate, Merstham, Horley, Oxted, Caterham and Lingfield)

Health Visitor Advice Line:
8am to 5pm Monday to Friday (excluding Bank Holidays)
Tel: 01883 340 922

Area team Location Tel
East Surrey
Caterham Dene01883 340 922

West Surrey area (covering Woking, Guildford, Runnymede, Spelthorne, West Elmbridge, Surrey Heath and Waverley boroughs)

If you need advice and support about any aspect of caring for your child, including their health, development and behaviour, please contact your area team on the numbers below.
North West Surrey area
Area teamLocationTel

Woking East Team West Byfleet Health Centre 01932 340411
Woking West Team Goldsworth Park Health Centre 01483 794885
Runnymede North Team The Grove Community Health Centre, Egham 01483 783505
Runnymede South Team Addlestone Health Centre 01932 846263
Surrey Heath Team Berkshire Road Clinic 01483 782802
South West Surrey area
Guildford & Waverley North Team The Jarvis Centre, Guildford 01483 783288
Enuresis Team The Jarvis Centre, Guildford 01483 783193
Guildford & Waverley East Teams East Horsley Medical Centre 01483 284544
Send Villages Medical Centre 01483 211127
Cranleigh Team 01483 782440
Guildford & Waverley West Teams Ash Vale Health Centre and Farnham Hospital 01483 782093
Guildford & Waverley South Team Milford Hospital 01483 782631
North East Surrey area
Spelthorne Team Ashford Clinic 01784 883728
West Elmbridge Teams Weybridge and Walton
This team's base (Weybridge Hospital) was destroyed by a fire in the early hours of 12 July 2017 so there have been location changes.

Please note the following changes to the West Elmbridge Health Visiting team:

The Health Visitor advice and booking line is now available from Monday to Friday 9am to 3 pm on: 01932 414149.

Attendance at all baby clinics are by appointment only: Weybridge Children Centre, Burhill Children Centre, Walton Children Centre and soon at the Walton Health Centre from 3rd January 2018.

Appointments for the 6/8 week post- natal check will be given out at the new birth visit.

To cancel, change or rebook a missed appointment, please call the advice line where the Health Visiting Team will be more than happy to help you.

01932 414149

Sure Start Children’s Centres are located in your local community and offer advice and support for families with children under five years. Services include: breastfeeding support, and information about nutrition and healthy lifestyles from pregnancy and beyond.

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