I read the recent publication on treatment of sleep-disordered breathing by Fibbi et al . Fibbi et al concluded that “RFVR is preferable because it is simpler to perform and less invasive than lingual suspension (LS), and it can be repeated over time” . Indeed, there are many concerns for judging which the better method is. A sense of simplicity and invasiveness of the procedure have to be more systematically assessed. In addition, there should be additional information on comparison of cost effectiveness and cost utility between the 2 techniques. The total numbers of subjects in this work are quite few; hence, the conclusion might not be reliable. The authors also mentioned that the 2 techniques can be quickly performed and simple. These should be clarified. Indeed, performing either LS or radiofrequency volume reduction has to take a good patient preparation, and the tools in each procedure have to be available.