@dave4144 Believe me, it's worth the hassle. I've had four. (I've heard of 40 and my GE doc told me on the last one, he had one who had to have it done weekly.) At last, I can swallow without fear of gagging or having to stay up all night to avoid aspiration. When the doc made the weekly comment, I said that I was afraid I'd have to go DIY, which brought down the OR for some reason. In my case, I had the overlying problem of spasm, which have also subsided...