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Sleep surgery for the treatment of obstructive sleep apnea (OSA) has been controversial, due to the many aspects of sleep surgery that remain unknown. Sleep medicine doctors and sleep surgeons may have different viewpoints on the subject, but their goals should be the same: to treat their patients. No one treatment method is the only method for treating all OSA patients. Sleep surgery has many limitations, such as imperfect evaluation methods for finding obstruction sites, the lack of exact indicator for each surgery, etc. Overcoming these limitations should increase sleep surgery’s success rate. In this paper, I discuss the nature of these limitations and what the focus of study should be regarding sleep surgery.