It is estimated that 590 million people suffer from dysphagia. Dysphagia impacts infants, children, teens and adults. Acquired dysphagia will impact way too many people over the age of 60. Our Dysphagia Food Chaining therapy program is explained in detail. Multiple, specific food chaining ideas are shared, giving the listener foods to consider from all food groups. The complexity of advanced food chaining is evident. In regard to safety, the IDDSI and dysphagia chaining go hand in hand. Use of the IDDSI in treatment is explained. A case history discussed is about treating a patient with oral cancer and a hemiglossectomy. The patient went from only being able to eat three bland foods to enjoying high flavor, nutritious foods from all food groups. How did we do it? That is what this episode is all about.