I had the nissin/gtube surgery about 2 years ago. I'm not gonna lie it was hard(atleast for me), I wasnt able to swallow big pills without gaggin and I had to chew my food extra good because if it was to big it would get stuck and I'd have to wait a few minutes before attempting to take another bite. It still happens sometimes. In the end...it was worth it. The aspirating caused alot of lung infections and now I dont have to go in as much. BUT...the nissin can slip and can stop working and they'd have to redo it.