Fees and
treatment costs
We publish our fees openly because we believe you should be able to plan financially before committing to an appointment. Treatment costs vary by age group and individual pathway β here we explain exactly what is involved at each stage and what each element costs.
The initial evaluation
Every patient β regardless of age β begins with the same first step: a comprehensive evaluation appointment. This involves a functional physiotherapy or feeding assessment followed by a medical consultation with Dr. Justin Roche. A recommended management plan is then discussed with you. No surgery takes place at this appointment.
The evaluation fee is the same for all age groups.
Children (6 months to 16 years): Functional assessment with a chartered physiotherapist, followed by medical consultation with Dr. Roche. Management plan discussed.
Adults (16+): Functional assessment with a chartered physiotherapist, followed by medical consultation with Dr. Roche. Management plan discussed.
COβ laser frenectomy pathway
For infants in the newborn period, our pathway focuses on thorough preparation before a COβ laser frenectomy, followed by structured post-operative feeding support. The preparation phase is not a delay β it builds the functional foundation that makes surgery more effective and recovery more predictable.
Frenuloplasty under conscious sedation
Infants aged 12 weeks to 6 months are beyond the newborn period but too young for the approach used in older children. This age group requires functional frenuloplasty β a more comprehensive surgical procedure β performed under conscious sedation. This service is, to our knowledge, unique to the National Tongue Tie Centre in Ireland. Conscious sedation means your baby breathes independently throughout and is kept comfortable by local anaesthetic, avoiding the risks of general anaesthesia.
Frenuloplasty with myofunctional rehabilitation
Children in this age group have established oral movement patterns β for eating, speaking, and breathing β that have been built around their restriction. The pathway addresses not only the structural release but the retraining of function that is clinically essential to achieving lasting outcomes. Pre-operative myofunctional therapy is required before surgery in all but exceptional clinical circumstances.
Functional frenuloplasty under local anaesthetic
Adult patients bring years or decades of compensatory patterns β in jaw mechanics, posture, swallowing, and breathing β that must be addressed alongside the structural release to achieve meaningful functional outcomes. The adult pathway is the most comprehensive, combining pre-operative physiotherapy and myofunctional therapy with a frenuloplasty under local anaesthetic and a structured rehabilitation programme.
What your insurance may cover
We provide official receipts for all appointments and procedures. Coverage varies significantly between health insurance providers and between policy tiers β we recommend contacting your insurer directly to confirm what is covered under your specific plan before attending.
The majority of health insurance providers in Ireland reimburse for a lactation consultation (IBCLC). This includes the feeding assessment component of the infant evaluation appointment.
Depending on your policy, a portion of the medical consultation with Dr. Roche may be claimable. A facility fee is charged for surgical procedures, meaning the full surgical cost is not covered by insurance.
Physiotherapy appointments may be partially covered depending on your policy. Check the annual physiotherapy benefit on your plan. Cover varies significantly between policy tiers.
A facility fee applies to all surgical procedures, meaning the full procedure cost is not covered by health insurance even where some coverage exists. Receipts provided for all components.
We understand that the cost of a full treatment pathway is a significant investment. A payment plan can be arranged to spread the cost. Please contact the clinic directly to discuss the options available to you.
Call us: 052 610 8009Fees β frequently asked questions
Why does the full pathway cost more than a single procedure elsewhere?
Am I committed to the full pathway when I book the evaluation?
Can I get a more exact cost before the evaluation?
Is there a fee if we decide not to proceed with treatment after the evaluation?
Do you offer a payment plan?
What documentation do you provide for insurance claims?
Book your evaluation β or talk to us first
If you would like to speak with a member of our clinical team before committing to an appointment, our free Concerns Call is a 15-minute call where we listen to what is happening and advise honestly on whether an assessment is likely to be helpful in your situation.
All fees are stated in Euro (β¬) and include VAT where applicable. Treatment price varies according to the support required and type of surgery for each individual patient. You will be informed of all costs following your consultation before any further commitment is required. Fees are reviewed periodically β please confirm current fees with the clinic at the time of booking. Frenuloplasty is a surgical procedure; full information on associated risks is provided at assessment.
