Use age, obesity, hypertension, and airway anatomy to decide whether obstructive sleep apnea is likely and whether CPAP or surgery is the next step. Document the dominant clinical clue and the next bedside decision.

Obstructive sleep apnea is common in middle age and rises with obesity and hypertension; Children often develop obstructive sleep apnea from enlarged tonsils or adenoids; Weight loss and avoiding sedatives or alcohol are part of treatment; CPAP is the primary therapy for obstructive sleep apnea; Surgery is an option when CPAP fails or anatomy is clearly contributory