At a recent SPOHNC meeting, the coordinator, who is a speech pathologist, said the trend now is that more doctors are advising not to have a peg tube placed. I guess it's due to some having to use it permanently or becoming depedant on it longer than necesary. Anyway, one was recommended to me three years ago, what I read to do also, and even have my 2nd one, which I doubt I could have done without both times.