It is now widely accepted that snoring causes significant social dysfu
nction. In the absence of obstructive sleep apnoea syndrome, palatal s
urgery offers a very good chance of eliminating or reducing snoring, T
he traditional operation of uvulopalatopharyngoplasty remains the 'gol
d standard', but may be complicated by velopharyngeal incompetence, se
vere post-operative pain and even nasopharyngeal stenosis. A newer tec
hnique to reduce snoring caused by palatal flutter by using a neodymni
um: yttrium aluminium garnet laser to stiffen the soft palate has been
introduced recently by another unit. We show that this procedure can
be carried out using a CO2 laser, and present the initial results of t
he first 29 patients operated on at The Royal National Throat, Nose an
d Ear Hospital.