I will vote with Minnie on this. I found it was more comfortable to sit upright to feed. I had mine for 6 months and never had any trouble at all. I hung the gravity feed pouches on an IV stand, which I then set on a table while I sat on the floor to get it to go in faster. I could do it in about 5 minutes also. Which proves once again that everyone's treatment reactions, and PEG installations, are different.