Surgical treatment for snoring and obstructive sleep apnoea (OSA) aims to remove or reduce tissue that blocks airflow during sleep. Surgery is considered when non-surgical treatments like CPAP (Continuous Positive Airway Pressure), Advancement devices are not effective or tolerated. Different procedures may be used depending on the site of obstruction, such as the nose, soft palate, tonsils, tongue, or jaw.

Common surgical options include:

• Uvulopalatopharyngoplasty (UPPP) – removes excess tissue from the soft palate and uvula
• Tonsillectomy and/or Adenoidectomy – useful in children and adults with enlarged tonsils
• Nasal surgery – such as septoplasty or turbinate reduction to improve airflow
• Tongue base surgery or jaw advancement surgery – for severe OSA
• Hypoglossal nerve stimulation – an implantable device to keep the airway open during sleep

• You will undergo a full assessment including a sleep study, ENT examination, and possibly imaging.
• A nasal endoscopy or drug-induced sleep endoscopy may be performed to pinpoint where the blockage occurs.
• You will need to fast for several hours before surgery if under general anaesthesia.
• Stop blood-thinning medications as advised.
• Smoking cessation is encouraged for better healing.

• Sore throat, nasal congestion, and tiredness are common after surgery.
• You may be advised to take voice rest, eat soft foods, and stay hydrated.
• Avoid physical exertion and follow instructions about sleeping position.
• Full healing may take several weeks depending on the procedure.
• Pain relief, antibiotics, and nasal rinses may be prescribed.
• You may need a repeat sleep study to assess surgical success.