A new mother is five days postpartum. Her milk has come in, but the baby just cannot get the hang of nursing. She is hungry and wants to nurse but is fussy at the breast. Mom is tired and feeling frustrated. After a few more days everyone is overwhelmed by trying to help the baby nurse well and no one knows quite what to do. Mom takes baby in to the pediatrician. Most care providers are familiar with the classic tongue-tie, but lip-ties and posterior tongue-ties are other structural obstacles to nursing that are usually overlooked by most of us midwives, pediatricians, even lactation consultants because we simply aren't aware of them; We were never taught to look for them.