Dear Jim, My husband lived with the peg for almost 2 consecutive years. During that time we made many long car trips to visit our DIL, who was on active duty [Army] in Texas. It would take 2 days down and back because we were traveling with a toddler. We simply packed enough peg foods and liquids to make the trip. We could travel anywhere by car- I know air travel would present more of a challange. But had John beaten the cancer and kept the peg, we were planning to buy an RV and travel happily across this country and into Canada, Mexico etc. It can be done! I believe Attitude is more important than a peg tube. Amy in the Ozarks