This resource explores the complexities and limitations of dysphagia management, highlighting key swallowing exercises like the Shaker, Mendelsohn, Masako, and CTAR while acknowledging the lack of definitive evidence supporting their efficacy. Designed for therapists, it encourages a patient-centered, collaborative approach that prioritizes real-world outcomes, transparent education, and individualized care amidst the gray areas of current dysphagia research.