I've written on this same subject somewhere else in this website, but I will try to replicate my comments here. Two and a half years after my RALP I was down to one medium pad per day (stress incontinence) but was not satisfied with that. I called myself Jack the Dripper. So I got a referral to the guy in my Urology Group who does slings. He said I was a good candidate but would not see significant improvement because one medium pad a day is considered "continent". I went ahead anyway. The surgery was outpatient, and I took a good 6 weeks off from anything harder than walking. The improvement in continence was immediate. That was 7 months ago, and I am still happy with the outcome. I do wear a "what if" pad in my underwear when I am hiking in mountainous areas, playing pickleball or golf because little squirts do occur now and then. But if I have nothing overtly physical to do, I can go without a pad. It was the Boston Scientific sling and I am now 73.