Dysphagia in multiple sclerosis (MS) has been found to be far more frequent than expected, and should be considered a dangerous condition from its onset because of its potentially serious complications. Among the several classification scales, we use the “O’Neil severity graduation scale” for its correlation between investigation imaging and patients’ symptoms. In this paper we describe our treatment plans of mild, moderate and severe dysphagia following a preliminary assessment of symptoms carried out according to the O’Neil dysphagia graduation scale.