I did some research on the bumper vs. balloon feeding tube and I now think that the balloon type is meant for temporary use because it involves less surgery. We have a call in to the doctor to see if my husband can have the 3-4 hour outpatient surgery to put in the bumper type. I'm sure that the original doctors had no idea that my husband would need a permanent feeding tube but my husband cannot open his mouth enough for daily meals and he has failed multiple swallowing tests. Thanks to you and everyone who has commented on this.