Snoring and obstructive sleep apnea comprises a continuum from partial airway collapse with vibration of the upper airway to complete airway obstruction. Airway collapse in obstructive sleep apnea can occur at a variety and multiplicity of sites, while most vibration of the soft tissues in snoring is thought to occur at the level of the soft palate. Common surgical procedures that address the palatal region include uvulopalatopharyngoplasty, laser-assisted uvulopalatopharyngoplasty, radiofrequency ablation, and Injection snoreplasty, but in cases of uvulopalatopharyngoplasty the postoperative pain and morbidity are significant, laser-assisted uvulopalatopharyngoplasty can be conducted under local anesthesia, but the postoperative pain is similar to uvulopalatopharyngoplasty, and lateral scar retraction may cause velopharyngeal stenosis, Radiofrequency ablation of the palate is another option, but in obstructive sleep apnea several Radiofrequency ablation sessions are needed to see the effects, or no effect has been shown at all. Palatal pillar implant procedure that was introduced in 2003 to treat snoring and mild to moderate obstructive sleep apnea, are simple, safe, and a single stage office based procedure causing minimal tissue injury with low morbidity and patient discomfort.