Michele, My John is on his 2nd peg[as well as 2nd surgery] Other than getting used to how to tape it so it's comfortable, and learning to sleep on the other side, he hasn't had much problem. It really is important to keep the skin area clean and the tube flushed with water, but that is easy to do. I have to remind John to keep a gauze pad between his peg and skin, so you might watch for that. Amy