I didn't have one but I never really had suffered from nausea. The nausea that came with the chemo caused me to loose alot of weight. I think I have lost a total of 30lbs at this point. My weight has stabalized but I still drink all of my meals. If you have trouble with nausea or are sensitive to throat pain or don't have an extra 30-40lbs to play with I would get a peg tube before treatment starts. Once you start it is risky because of infection with a weakened immune system. There are times like this week that I wish I had one just so I didn't have to make myself drink so much ensure and CIB. Most people are really glad they got one, but some do have a little trouble with them. I think there is quite a bit experienced info on that subject as well. Good Luck 2007. :-) Lee