**Abstract**

Given the increased prevalence of obstructive sleep apnea (OSA) multiple treatment modalities including medical and surgical have been developed. Firstline therapy for most of the people with obstructive sleep apnea (OSA) consists of behavioral modification, including weight loss if appropriate, and positive airway pressure (PAP) therapy. Patients who fail or do not tolerate PAP therapy, treatment options include oral appliances and surgical therapy. Surgical therapies have variable efficacy and are very important tool on OSA management in selected patients. This chapter will review the current surgical approaches sleep specialists use when other treatment options fail to accomplish the valuable outcome.

**Keywords:** obstructive sleep apnea (OSA), continuous positive airway pressure (CPAP), role of surgery, surgical treatment, follow up and monitoring
