Objective To review the long-term results of the Modified Cautery Assisted Palatoplasty (ModCAP) procedure for the treatment of OSA. Methods Prospective non-randomized trial in 43 consecutive patients with OSA. All patients were >18 years old, type I Fujita, BMI <30, Friedman clinical stage II, with AHI from 1.0 to 30.0. The mean follow time was 32.4 months. The procedure involved an anterior soft palatal advancement technique with or without removal of the tonsils. The procedure was done under GA if the tonsils were removed as well, and done under LA if the tonsils were small or not present. Results There were 41 men and 2 women, the mean age was 39.2 years old (range of 21 to 49), mean BMI was 25.7 (range of 20.7 to 26.8). All patients had pre-operative PSG, only OSA patients had post-operative PSG repeated. There were 15 snorers and 28 OSA patients. The AHI improved in the patients with OSA, 25.3 ± 12.6 to 11.0 ± 9.9 (p<0.05). The overall success rate for this OSA group was 65.1% (at mean 32.4 months). The mean snore scores (VAS) improved from 8.4 to 3.5 (for all 43 patients). Post-operative pain scores were fairly low, from a range of 4.5 to 6.6 (at 5th POD). Lowest oxygen saturation also improved in all the OSA patients. Subjectively, all the patients felt less tired. Conclusions This technique has been shown to be effective in the management of patients with OSA and simple snoring.