Well, option one is not an option, I am afraid. The condition of my mouth and the invasiveness of the tumor make that impossible. Now I have two options. One is to do nothing and essentially give up. The other involves very invasive surgery which would also involve some major lifestyle changes. I would have a permanent feeding tube, and a permanent trache. I am not sure that I would ever be able to eat or speak normally again. I know that there are others on here who have faced similar challenges. I would like to know how you coped and are coping with them. I am not ready to totally give up yet. I have a new granddaughter due in April, and I would like to be part of her life if possible.