In this article, the author comments on the article "Evaluation of the Effectiveness of Uvulopalatopharyngoplasty" by Shiro Fujita and colleagues. Topics discussed include treatment of obstructive sleep apnea (OSA) patients with uvulopalatopharyngoplasty (UPPP), use of mandibular advancement (MMA) for treating patients with mandibular deficiency, and improvement in patient's respiratory distress index.