What is Inspire therapy?
Inspire is an FDA-cleared treatment for obstructive sleep apnea that works from the inside — no mask, no hose, and no machine on the nightstand. During a short outpatient procedure, a surgeon places a small device just under the skin of the chest. While you sleep, it delivers gentle stimulation that keeps the muscles around your airway from collapsing.
It's designed for people who have real, moderate-to-severe apnea but simply couldn't make CPAP work. Instead of adapting your life to a machine, Inspire works quietly in the background — you turn it on with a small remote before bed and off when you wake up.
How it works
Senses your breathing
The implant monitors your natural breathing pattern throughout the night.
Gently stimulates
In rhythm with each breath, it delivers a mild pulse to the nerve that controls your tongue and airway muscles.
Keeps the airway open
That stimulation moves the tongue slightly forward, so the airway stays open and airflow keeps moving.
You stay in control
A handheld remote lets you turn therapy on at night, off in the morning, and pause or adjust as needed.
Who qualifies?
Inspire isn't for everyone, and that's by design. General FDA-cleared criteria include:
- 1 Adults age 18 and older
- 2 Moderate-to-severe obstructive sleep apnea
- 3 Unable to use or benefit from CPAP
- 4 Not significantly overweight (within BMI range)
- 5 Airway anatomy suited to the therapy
- 6 Confirmed OSA on a recent sleep study
These are general guidelines. The only way to know for certain is an evaluation — which may include a quick in-office airway exam to confirm the therapy is a good fit for you.
What to expect
Risks & side effects
Inspire is generally well tolerated, but — like any implanted device — it carries some risks and side effects. Your surgeon and sleep physician will review all of them with you before you decide.
From the procedure
Temporary pain, swelling, or bruising near the incisions is common and settles over the first weeks. As with any surgery under anesthesia, there's a small risk of bleeding or infection; serious complications are uncommon.
From the therapy
Some people notice tongue soreness or weakness, a mild abrasion of the tongue, or an unusual sensation from the stimulation — usually mild, and often easing as we fine-tune the settings.
Less commonly, the device or one of its thin wires (leads) may need repositioning, and the implant has specific MRI considerations your care team will explain. Its battery lasts several years and is eventually replaced in a minor procedure. Not everyone responds fully — which is why the evaluation, activation, and follow-up tuning we provide matter so much.
Inspire vs. CPAP
Both treat obstructive sleep apnea well. The difference is the experience — and which one you'll actually use every night.
Inspire
No mask or hose. A one-time implant controlled by remote. Best for qualifying patients who couldn't tolerate CPAP.
CPAP
The proven first-line therapy for most people. A mask and machine deliver steady airflow — highly effective when the fit is right.
Not sure which path fits? Compare your options on our CPAP therapy page, or learn more about sleep apnea overall.