Sleep Apnea Implant: What It Is, How It Works, and Who It Helps

When you can’t breathe properly while sleeping, no amount of pillows or sleep aids fixes the problem. That’s where a sleep apnea implant, a surgically placed device that stimulates the nerve controlling tongue movement to prevent airway collapse during sleep. Also known as upper airway stimulation, it’s not a CPAP machine — it’s a quiet, internal solution for people who can’t tolerate the mask. This isn’t a new idea, but it’s one of the few FDA-approved options that actually moves the tongue forward without external gear.

Most people with obstructive sleep apnea try CPAP first, but nearly half give up because it’s uncomfortable, noisy, or claustrophobic. For them, a sleep apnea implant offers a real alternative. The device works by sensing when you breathe in and then sending a mild pulse to the hypoglossal nerve, the nerve that controls tongue muscles. That pulse keeps your tongue from falling back and blocking your throat. The system includes a small generator under the skin of your chest, a sensing lead, and a stimulation lead — all implanted in one surgery. It’s controlled with a remote, turned on before bed, and off in the morning.

It’s not for everyone. You need to have moderate to severe obstructive sleep apnea, a BMI under 32, and have tried and failed CPAP. You also can’t have complete airway collapse from soft tissue alone — the implant needs some room to work. Studies show it cuts apnea events by about 70% and improves sleep quality significantly. People report less snoring, fewer daytime crashes, and better mood. But it’s surgery. There’s risk. Recovery takes weeks. And it costs more than a CPAP machine — though insurance often covers it if you meet criteria.

It’s also not the only option. Some people turn to oral appliances that pull the jaw forward. Others try weight loss or positional therapy. But if you’ve tried everything and still wake up gasping, the implant might be the answer you’ve been waiting for. Below, you’ll find real-world insights on how these devices compare to other treatments, what to expect during recovery, and how they interact with other medications you might be taking — especially those that affect breathing or nerve function.