Tongue-tie has become one of the most controversial topics in lactation. There are loud, noisy arguments on social media. Unfortunately, mothers, babies, and the IBCLCs who want to help are caught in the crossfire. How should tongue-tie be identified and treated? Do posterior ties exist? Are there alternatives to surgery? These are some of the issues lactation consultants face, as well as Scope of Practice issues and what their role should be in identifying and treating tongue-tie. This monograph features an expert roundtable answering these important questions. We assembled a panel of experts on tongue-tie who represented a wide range of disciplines including pediatrics, family medicine, dentistry, mental health, speech and language, and lactation. Members of this panel do not always agree, but the discourse is respectful and represents the state of the art in this field.