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International families

Surgery and therapy in Ireland, with your care continuing at home.

Three pathways for families travelling from abroad to the National Tongue Tie Centre. Each one starts with an online consultation, and each is priced in full so you can see what you are paying for.

Dr Justin RocheConsultant Paediatrician, IBCLC
Kate RocheClinical Director, physiotherapist, IBCLC
Coordinated carearranged by our Nurse Specialist
A family at the National Tongue Tie Centre
Choose your pathway

Three ways to care for your child in Ireland.

The right pathway depends on your child's age, feeding, and how much support you have at home. The online consultation confirms which one fits.

Shortest stay

Shared Care Release

About 48 hours in Ireland for evaluation, surgery and discharge. Therapy happens mainly with your local practitioners.

  • Tuesday afternoon to Thursday morning
  • Evaluation, surgery and discharge review
  • Therapy before and after surgery
€4,125€4,575 including consultation
View Release
Five days

Shared Care Foundations

A working week of therapy around surgery, with local therapy before and after.

  • Monday to Friday
  • 8 therapy sessions, 3 before and 5 after surgery
  • Physiotherapy and feeding therapy
€5,775€6,225 including consultation
View Foundations
Two weeks

Comprehensive Care Package

A full care package including accommodation, with the whole team from preparation to recovery, one family at a time.

  • Accommodation included for two weeks
  • 16 therapy sessions with the NTTC team, 6 before and 10 after surgery
  • Full team support throughout
€10,675€11,125 including consultation
View Comprehensive

Prices are for one child. Families with a second child pay less per child; see the cost section below.

Your journey

Seven steps, from first call to care at home.

Our clinical care coordinator, a Nurse Specialist, arranges your individual package and keeps the steps in order. Our clinicians then provide the care you receive with us in Ireland, one step after the next.

  1. Free concerns call

    An informal conversation with a member of our team. No charge and no commitment.

  2. Online consultation

    With Dr Roche and Kate. You receive an opinion on whether NTTC is suitable for your child and a recommendation of the right pathway.

  3. Local preparation

    Release and Foundations families find clinicians in their own community, for example for bodywork and feeding therapy, and begin pre-operative therapy there. Comprehensive families prepare in Ireland, with therapy starting on arrival.

  4. In-person evaluation

    Kate and Dr Roche provide a full functional evaluation, agree the surgical plan with you and individualise your package to your child's needs.

  5. Therapy and surgery

    Frenuloplasty by Dr Roche, with therapy around it as set out in your pathway.

  6. Discharge review

    A review with Dr Roche before you travel home, with a plan for local therapy as required.

  7. Six week telehealth review

    Included in the surgical fee. A telehealth review with Dr Roche to check progress.

Who does what

What we provide, and what you arrange.

NTTC provides

  • Online consultation and in-person evaluation
  • Frenuloplasty and the therapy listed in your pathway
  • On-call medical cover during your time in Ireland
  • Care coordination and clinical liaison with your local practitioners
  • Discharge review and six week telehealth review
  • Accommodation, Comprehensive only

You arrange

  • Flights and transport in Ireland (we can suggest options)
  • Accommodation for Release and Foundations
  • Local practitioners, for example for feeding support and bodywork, and the cost of their sessions
  • Travel and medical insurance
Cost of care

The full price, side by side.

These are our typical package prices, covering everything listed on each pathway page. Care is individualised to your child, so your final package is confirmed after your online consultation, which is paid first and is separate.

Per childReleaseFoundationsComprehensive
Package price€4,125€5,775€10,675
Online consultation€450€450€450
Total for one child€4,575€6,225€11,125
Second childincluding their consultation€3,825€5,475€7,125
Family of two children€8,400€11,700€18,250

An itemised breakdown for insurance purposes is provided with your consultation report. Additional therapy beyond your pathway is charged at our standard session rates, set out on our fees page, and nothing is added without your agreement. In the Comprehensive Care Package, if Kate is required as part of the therapy programme, there is an additional premium of €75 per appointment, charged only when agreed with you in advance.

Frenuloplasty is a surgical procedure. All procedures carry associated risks. Full information on risks, benefits and individual expectations is provided before any decision to proceed. Outcomes vary between children and no result can be guaranteed.

Booking

How booking works.

  • Bookings are arranged through our clinical care coordinator, a Nurse Specialist
  • Start days are fixed: Tuesday for Release, Monday for Foundations and Comprehensive
  • Comprehensive accommodation is available from the Sunday before your Monday start until the Saturday two weeks later
  • The online consultation follows our standard clinic terms and conditions
  • Our agreement for your package, with payment, cancellation and refund terms, is sent after your online consultation
Questions families ask

Answers that may be helpful.

Is my child suitable?

Every child has an online consultation first. Dr Roche and Kate assess whether our service is suitable for your child and recommend a pathway. Diagnosis takes place at the in-person evaluation, and surgery is agreed only after it. The online consultation cannot replace that, but it allows you to make plans to travel.

Can we choose Comprehensive without staying in your accommodation?

Accommodation is part of the Comprehensive Care Package. If you prefer to arrange your own, Foundations with additional sessions at standard rates may suit you better. We can talk this through on the free concerns call.

Can we add accommodation to Release or Foundations?

Sometimes. Comprehensive families have priority, so availability depends on the dates. Ask our clinical care coordinator.

Do you recommend local practitioners?

No. We do not assess or recommend practitioners in other countries, so the choice is yours. We can share some general guidance on what families often find helpful, and we are happy to liaise with whoever you choose. Before surgery is booked, we ask for a report on how your child has been prepared.

What if you decide surgery is not needed?

Our agreement, sent after your online consultation, sets out what is refunded if surgery or therapy is found not to be needed.

Will Kate treat my child?

Kate sees your child at the evaluation. Therapy in the Comprehensive Care Package is delivered by the NTTC team. If Kate is required as part of the therapy programme, there is an additional premium of €75 per appointment, charged only when agreed with you in advance.

What happens in an emergency during our stay?

NTTC provides on-call medical cover for the time you are in Ireland, included in every pathway. Our clinical care coordinator will give you the details before you travel.

Start here

Begin with a free call about your concerns.

Tell us about your child and we will explain which pathway to consider. Book a free call with a member of our team. To make a booking or ask about your package, email our team at [email protected]. Please do not include medical details in your first email. After you book, you complete a secure intake form.