The hyoid suspension technique, first documented in 1986, has been progressively adapted to address hypopharyngeal airway obstruction. Initially, the procedure involved securing the hyoid bone to the lower border of the mandible with fascia lata, which laid the groundwork for further advancements. Over time, this approach was adjusted by attaching the hyoid to the thyroid cartilage to enhance both precision and effectiveness. As research continued, numerous modifications were introduced, each focused on improving patient outcomes and minimizing complications. This chapter thoroughly reviews the various techniques developed for hyoid suspension and the possible complications that can arise postoperatively, offering a deeper insight into this intricate surgical intervention.