Inspire vs Genio Decision Tool
Not a ranking. A structured way to work out which set of trade-offs you would rather live with — and which questions to take to your surgeon.
What this tool does
A few facts about your case, then six short questions about what matters to you — asked one at a time, without naming the devices, so the facts can’t nudge you toward a brand. Your brief at the end reveals which implant your answers point to, and prints with a question sheet for your consultation. It does not check candidacy — that needs a sleep study, an examination and a sleep endoscopy. For payer criteria, use the candidacy and coverage checker.
Inspire or Genio — what are you actually trading?
Six short questions about what matters to you — devices unnamed until the result. No fit scores, and no prediction of your outcome.
Read this first: no study can pick a winner for you.
One of the two implants has roughly 350 published papers behind it, five years of follow-up and a registry of tens of thousands. The other’s record is one trial: 115 patients, 12 months. That is a real difference in how much is known — but not a measured difference in results: the only head-to-head comparison of the two, 19 patients at three months, found no difference in anything.
So this is not a ranking — and the questions below don’t name the devices, because naming them next to each question is an easy way to bias your answers. You’ll see which is which, mapped to what you said, in your brief.
The number you were quoted — which kind of sleep study produced it?
1) About you (optional)
Optional, in broad ranges only, and stored only if you check the box at the end of this section. It helps me understand who is weighing these two devices. No name or contact information is requested.
What is stored, who can see it, and how to have it deleted: privacy notice.
2) Your case
Facts, not preferences — they decide whether you sit inside each device’s published evidence, and nothing below can override them. Skip anything you don’t know.
Help me calculate my BMI (optional)
Enter height/weight to calculate BMI. I do not store height or weight—only the BMI range you select.
Both implants allow MRI under conditions that differ — if you answer yes, the specifics are shown with your result.
3) What matters to you
One factor at a time, with the facts — but not the brand names — attached. “Not important to me” is a real answer.
Answer at least one question, then tap See My Result.
Results
The better-studied approach is delivered by the less-studied device.
Ask the surgeon in front of you
Print this page and take it with you. This is the part most likely to change what actually happens at your consultation.
- How many Inspire implants have you done? How many Genio?
- How many of each in the last 12 months?
- Which do you do more often, and why?
- What is your revision rate?
- If you only implant one, who locally implants the other?
- Who programs it afterwards, and how often will I see them?
As of August 2026: most surgeons offering both devices have done hundreds of Inspire and far fewer Genio. My own numbers: fewer than 20 Genio and more than 600 Inspire. Ask directly — but expect roughly ten times more Inspire experience almost anywhere you go. That cuts against Genio, and against me, which is why it is stated plainly rather than buried. Larsen 2021 (ADHERE, 260 patients, 13 centers): across a center’s first 20 implants, no measurable outcome difference — only operating time, 150 → 134 min. All authors declare Inspire relationships; underpowered for complications.
What we know, and where the data stops
What this tool will not tell you
What 151 patients told the earlier version of this tool — collected under V1.0, a retired instrument.