Concierge ENT · London
Laser-assisted uvulopalatoplasty in London, with an honest verdict first.
LAUP is no longer recommended as first-line treatment for obstructive sleep apnoea. For a narrow group of primary snorers it still has a role — for everyone else, CPAP or a mandibular device usually wins. We say which is which before you book.
Why patients choose us
- 01
A consultant ENT surgeon, and a sleep study first
No laser goes near the palate until an in-lab or home sleep study has ruled out obstructive sleep apnoea. We insist on it.
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The uncomfortable truth, up front
NICE and the European Respiratory Society no longer recommend LAUP as a first-line treatment for OSA. We say so before you book — CPAP or a mandibular device usually wins.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What LAUP — and the workup that must come first — costs privately.
Indicative ranges across our partner ENT clinics. Send the details and we quote firm figures, including the sleep study and DISE we insist on.
In short
LAUP itself: £2,000–£4,000, plus a sleep study and DISE before we would agree to it.
| Procedure | Indicative range | Typical duration | Turnaround |
|---|---|---|---|
| LAUP under LA + IV sedation | £2,000–£4,000 | 15–30 min | Same day home |
| Home sleep study (required first) | £250–£450 | 1 night | 5–7 days |
| In-lab polysomnography | £800–£1,600 | 1 night | 7–10 days |
| Drug-induced sleep endoscopy (DISE) | £1,500–£2,800 | 20 min GA | Same visit |
| Mandibular advancement device (MAD) | £450–£1,200 | 2 fittings | 2–3 weeks |
| ENT consultation only | £200–£400 | 30 min | Same visit |
Prices vary by clinic, by which ENT surgeon does the case, and by whether a home study or full polysomnography is used. We come back with a firm quote — including the workup — within one working day.
The problem
The right diagnosis before the right treatment — never the other way round.
The commonest error in snoring surgery is treating the noise without diagnosing the cause. A sleep study first, DISE second, and only then a conversation about whether LAUP has any role for you at all.
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Sleep study first, always
A home or in-lab study to measure the AHI. If OSA is present, LAUP comes off the table.
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DISE to see the airway
Drug-induced sleep endoscopy to localise obstruction. Palate-only cases are the only candidates.
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Non-surgical options offered
CPAP, a mandibular device, positional therapy and weight loss are all discussed before any laser.
The journey
From enquiry to recovery — what happens, in order.
One clinician from first message to review — including the recovery window.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
A few hours at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Snoring pattern, partner reports, daytime sleepiness, prior sleep studies if any.
- 02
Before
Sleep study before anything else
A home or in-lab sleep study is booked first. If OSA is found, LAUP is off the table — we route to CPAP or a mandibular device.
- 03
Before
DISE to see where the noise is
Drug-induced sleep endoscopy identifies whether obstruction is palatal, tongue-base or multi-level. Only palate-only cases are candidates.
- 04
On the day
Arrival at the clinic
Consent, a chat with the ENT surgeon and anaesthetist. Local anaesthetic with light IV sedation is the norm.
- 05
On the day
The procedure itself
15–30 minutes in a proper theatre. A CO₂ laser vaporises the uvula and trims the soft palate. Home the same afternoon.
- 06
After
The painful part — two to three weeks
Severe throat pain for 2–3 weeks. Liquids then soft diet for a fortnight. Time off work: one to two weeks for most.
- 07
After
Review, and an honest verdict
A review at six to eight weeks. If snoring returns — and in 40–60% of cases it does within two years — we discuss the next step honestly.
Typical end-to-end: 3–4 weeks from enquiry to procedure (allowing time for the sleep study). Full recovery: 3–4 weeks.
When it helps
When LAUP still has a (narrow) role.
The situations where LAUP can help, the situations where it should not be offered, and the red flag that means a sleep study before anything else.
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Primary (simple) snoring
Loud habitual snoring in an adult whose sleep study has confirmed there is no obstructive sleep apnoea. The narrow indication.
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Palate-only obstruction on DISE
Drug-induced sleep endoscopy shows the noise comes from a long uvula or a floppy soft palate — not the tongue base.
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CPAP declined for mild OSA
Occasionally considered in mild palatal-obstruction OSA where CPAP and a mandibular device have been refused after full counselling.
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A very long, obstructing uvula
A pendulous uvula that touches the tongue base and drives the snoring, with no other obstruction level involved.
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Partner-driven referral
Relationship-threatening snoring where the sleep study is clean and other measures — weight, position, alcohol — have already been tried.
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When LAUP is NOT the answer
Moderate or severe OSA, multi-level obstruction, tongue-base collapse, a high BMI, or anyone who has not tried CPAP or a MAD first.
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Preferred alternatives on the table
CPAP, mandibular advancement device, positional therapy, weight loss, formal UPPP, or hypoglossal nerve stimulation — usually a better bet.
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Red flag: undiagnosed OSA
Witnessed apnoeas, morning headaches, uncontrolled hypertension or a sleepiness score over 10 — a sleep study first, not a laser.
Alternatives, and why they usually win
LAUP is rarely the first, or the best, answer.
Here is what else is on the table — most of it non-surgical, most of it more evidence-based, and much of it better tolerated in the long run.
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CPAP (first-line for OSA)
Continuous positive airway pressure — the gold standard for moderate and severe obstructive sleep apnoea. Boring, effective, evidence-backed.
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Mandibular advancement device (MAD)
A custom-made dental appliance that holds the lower jaw forward at night. Excellent for mild-to-moderate OSA and for simple snoring.
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Positional therapy
Devices that stop you sleeping on your back. Simple, cheap, and often enough for supine-only snorers.
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Weight loss and lifestyle
A modest weight loss, cutting evening alcohol and stopping smoking are the least glamorous — and often the most effective — first steps.
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LAUP (this page)
Laser trimming of the uvula and soft palate. Considered only for primary snoring or select mild palatal-obstruction cases — with a candid discussion of recurrence.
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UPPP (formal uvulopalatopharyngoplasty)
A more extensive palatal surgery done under GA. Better long-term data than LAUP for selected patients, still not a substitute for CPAP in real OSA.
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Hypoglossal nerve stimulation
An implantable device for selected patients with moderate-to-severe OSA who cannot tolerate CPAP. Consultant-led, tightly criteria-bound.
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Consultation only
An honest discussion of whether any surgery is needed at all, and which non-surgical option fits — no obligation.
Our vetted London network
A small panel of ENT and sleep surgeons, we picked them.
Consultant ENT surgeons with a sleep-medicine interest, across central, north, west and south London. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every ENT surgeon in our network.
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Consultant ENT surgeons with sleep-medicine experience, not trainees
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A sleep study and DISE required before any laser is considered
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CPAP and mandibular device pathways offered before surgery
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Full written consent covering recurrence, pain and OSA-worsening risk
Safety and recovery
What to expect afterwards — honestly.
LAUP is a day-case procedure, but recovery is genuinely difficult and the long-term outcome uncertain. The risks below are the ones patients most often say they wish they had understood before booking.
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Severe throat pain for two to three weeks
The main reason patients regret LAUP. Pain is often worse than a formal UPPP and requires strong analgesia for the first fortnight.
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Velopharyngeal insufficiency
If too much soft palate is removed, liquids and food can escape up into the nose (nasal regurgitation). Uncommon but permanent.
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Palatal scarring and stenosis
Scar contraction can narrow the airway rather than widen it — occasionally worsening the very obstruction the procedure was meant to fix.
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Taste change and foreign-body sensation
Altered taste and a persistent sense of something in the throat are reported by a minority of patients and can be long-lasting.
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Recurrence of snoring
Forty to sixty per cent of patients see their snoring return within two years. Long-term efficacy is the weakest part of the LAUP story.
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Worsening of undiagnosed OSA
The single most important risk. LAUP in a patient with unrecognised OSA can silence the snoring while leaving — or worsening — the apnoeas.
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Bleeding and infection
Small risks in the first fortnight. Rare, but a reason to have a proper theatre and a named surgeon rather than a walk-in clinic.
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Diet and time off
Liquids for the first few days, soft diet for two weeks, one to two weeks off work. Plan the calendar before you book.
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Red flags after surgery
Heavy bleeding, high fever, or increasing shortness of breath at night are reasons to call the clinic or attend A&E the same day.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever technique was used, the note the ENT surgeon sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Indication and sleep-study result
Why the procedure was done — primary snoring or select mild OSA — with the AHI from your sleep study written in.
- 02 Technique
DISE findings and laser technique
What the drug-induced sleep endoscopy showed, the CO₂ laser settings used, and how much uvula and soft palate were removed.
- 03 Findings
Palatal anatomy and any incidental notes
Notes on the tonsils, tongue base and any incidental findings — the things that predict whether the operation will hold up.
- 04 Impression
Recovery, recurrence risk, review plan
Read this first: expected pain, diet, time off, when to return, and the honest recurrence figure for your case.
Recognised by major UK insurers
Cover for LAUP varies by insurer — commonly declined for primary snoring (treated as lifestyle) and considered case-by-case where a documented palatal-obstruction OSA has failed CPAP and a MAD. We confirm cover before booking.
Frequently asked
Everything we get asked about LAUP.
Straight answers on when it helps, when it does not, and how honest the recurrence figures really are.
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Is LAUP recommended for obstructive sleep apnoea?
No, not as a first-line treatment. NICE and the European Respiratory Society no longer recommend LAUP for OSA because long-term efficacy is poor, recurrence is high, and there is a real risk of worsening the apnoeas. CPAP and a mandibular advancement device come first.
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Who might still be a candidate for LAUP?
A narrow group: adults with primary (simple) snoring confirmed by a sleep study to have no OSA, with drug-induced sleep endoscopy showing the noise comes from a long uvula or floppy soft palate only — and who have chosen this route after being offered non-surgical alternatives.
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Why is a sleep study essential before LAUP?
Because operating on a snorer who actually has OSA can silence the snoring while leaving the dangerous breathing pauses in place — and sometimes make them worse. A sleep study measures the apnoea–hypopnoea index (AHI) and rules that out.
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What does the procedure involve?
A day-case operation under local anaesthetic with light intravenous sedation. A CO₂ laser vaporises the uvula and trims the soft palate. The whole procedure takes 15 to 30 minutes and you go home the same afternoon.
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How painful is recovery?
Honestly, worse than most patients expect and often worse than a formal UPPP. Severe throat pain for two to three weeks is the norm, requiring strong painkillers, liquids for the first few days and a soft diet for a fortnight.
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How likely is snoring to come back?
Between 40% and 60% of patients see their snoring return within two years. Long-term efficacy is the weakest part of the LAUP evidence — an honest surgeon will tell you so before you book.
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How much does LAUP cost privately in the UK?
Roughly £2,000 to £4,000 for the procedure itself. On top of that, a sleep study (£250–£1,600 depending on type) and often a DISE (£1,500–£2,800) are required before we would proceed.
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