Here's an update re: how to manage seat belt discomfort. Note that my incision site is still healing but is much better. I ordered a product from Soft Touch. It is well made but a bit pricey. I tried it in multiple ways but was unable to find a way that didn't still hurt. The main issue with it is that the space, as you can see from the photo, is rectangular. Unfortunately I couldn't come up with a position that didn't hurt my PM. Basically my PM is perpendicular to the opening in the Soft Touch. So my wife volunteered to make something that would provide strain relief to the seat belt. As the photo shows, what she made keeps the seat belt away from my PM. It stays in place when I change driving positions. I'm going to try the Soft Touch again when I'm fully healed and I'll provide another update. For now my wife's creation works well.