Normal human variation can sometimes be difficult to distinguish from minor anomalies that can impact feeding ability. This presentation uses clinical photographs to illustrate a systematic assessment of infant anatomy for optimal breastfeeding. Minor oral anomalies that may affect breastfeeding are highlighted, including tongue-tie, mandibular asymmetry due to torticollis, natal teeth, hemangioma, and palatal problems. Minor conditions are differentiated from those that might put infants at risk for significant feeding difficulties.