Also called ankyloglossia, this condition is present at birth. A short, tight band of tissue tethers the tongue's tip to the floor of the mouth. It can affect how a child eats and speaks, and can interfere with breastfeeding. Symptoms include difficulty sticking out the tongue past the lower front teeth or lifting it to the upper teeth, though many people have no symptoms. In those patients who are symptomatic, a tongue tie can typically be treated with a brief surgical procedure performed in the office or the operating room.