Extensions to the IPA, also often abbreviated as extIPA, is a group of symbols whose original purpose was to accurately transcribe disordered speech. At the IPA Kiel Convention in 1989, a group of linguists drew up the initial set of symbols for the Extended IPA. Extensions to the IPA were first published in 1990, and modified over the next few years before its official publication in the Journal of the International Phonetic Association in 1994 allowed it to be officially adopted by the ICPLA. While its original purpose was to transcribe disordered speech, linguists have used it to designate a number of unique sounds within standard communication, such as hushing, gnashing teeth, and smacking lips. The Extensions to the IPA have also been used to record certain peculiarities in an individual's voice, such as nasalized voicing.

Aside from the extIPA, another set of symbols is used for voice quality (VoQS), such as whispering.