Oh yeah, since joining last July I participated in some discussions, but the peg war has been going on for years lol. It was once advocated to use a peg tube for many years by RO, MO, ENT, speech and swallow therapists, but the new trend is not to use a peg until needed. I never had a problem, and like all muscles, they have memory. Each person is different, even in the type of treatment, radiation dosage, area involved that effects swallowing, surgery, teeth, etc. Some doctors feel if treatment, surgery is going to effect you long term, have co-morbitities, effecting getting adequate nutrition, hydration, they will advocate a peg.