Hello, Miriam. Amy is so right about the gauze square, cut to slip around the tube. I used that from from the beginning and never had any skin problems. I also did not have bleeding, and just little dampness until it healed a few days later. It looks worse than it is, and in my case was truly a lifeline. That is where I got food, water, and most importantly, much needed pain meds. Yes, it certainly is low tech, but it does a wonderful job. After a few days, the PEG will not be an issue. You can cross this one off your worry list.