Patients often have difficulty describing their dysphagia symptoms. Sometimes they even have symptoms more related to globus sensation or chronic cough rather than solid food dysphagia. Our program goes in depth with how you can go further than just the standard instrumental assessments of swallowing (FEES, VFSS) with the use of HRM. We will present a case based series of patients that benefit from their course of diagnosis and treatment with the use of HRM. We will also present several different practices and how HRM is utilized in workups, integrated into clinic flow, and ultimately billed. Providers do not have to have prior knowledge about HRM to attend as this course is designed for providers to get a glimpse of how HRM can work in their individual practices for their specific patients with dysphagia symptoms unexplained by other standard methodologies. Through the cases, we will describe the basic results seen in HRM tests and how this can guide future care for the dysphagia patient. Brief mention will also be made for how HRM will possibly utilized in the future of swallowing care with the use of pharyngeal manometry and biofeedback.