Dee, I had only two toggles, not four or five. Even with the two of them digging into me, I not only had to clean all the time under them, but it wasn't until I had really bad raw skin under them that someone at the CCC finally told me those things needed to be rotated. Throughout the entire six months of having it, I always had a scabby sort of discharge around the incision site. One thing I can say is after a couple weeks of having it out, the site healed up really well. However, the entire time I had the tube in, I kept thinking to myself that surely the people manufacturing it could come up with a better design so the toggle things wouldn't cut into the flesh. I wasn't a large woman at the start of treatment, but if I had extra poundage that thing would have been really uncomfortable. During the first month I used plenty of gauze pads underneath the toggles, not only to catch the discharge, but just to keep the plastic from digging into me.
Jen