Surgery sounds kinda drastic. (If it's necessary, it's necessary.) I know there are mouthguards you can buy that are designed to do the same thing -- keep your lower jaw extended a bit while you sleep.

Sleep Defender
Intelliguard
BioGrind

When you say "hitting the max", what precisely do you mean? Or to put it another way, what's wrong with hitting the max?

I had my first sleep study around 2004. When the guy came to my house to bring the machine and show me how to use it, he gave me a couple invaluable pieces of advice. Commit to using it no matter what, and keep using it even if I got a cold or something. I was an active duty Marine at the time, so c...