Hypoglossal nerve stimulation is a novel strategy for the treatment of obstructive sleep apnea (OSA). Its anatomy allows for easy surgical access, and its function as a motor nerve allows for tolerable neurostimulation. It has shown success as a therapy for the treatment of OSA with a greater than 80% success rate. Patients who use the device not only show improvement in symptoms but also tolerate the device well with high rates of adherence to therapy as well as a high majority preferring it over continuous positive airway pressure therapy.