I had a paralyzed diaphragm but no pulmonologist recognized that was why I was continually sliding downhill - coughing, no energy, short of breath with any exertion, weight loss. It wasn't until my Thoracic Surgeon, who I was seeing after being found a candidate for a lung transplant, recognized that my mild fibroids could NOT be causing such extreme symptoms. He offered the chance to either go for the double lung transplant or try the Diaphragm Plication procedure to stitch it back in place. Much less recovery time, and a good chance it could relieve my symptoms enough to buy me as many years as a transplant. I had the surgery 27 June of this year - robotically! - at UW-Madison. My internal organs had been crammed and pushed - my stomach had moved under my rib cage - no wonder I could not eat and lost weight. In the two months since surgery, I can say it has been a true life-changer! I can garden, do laundry, walk, - no more napping the afternoons away and no more eating half cup of food at a time. My husband says "I got my wife back!" -- after over one year of just thinking I had to face a transplant or die. There are several tests they can prescribe which can verify that is the problem - but it's so much less invasive and recovery time is so short. I had about 5 incisions and drain tubes for a few days, but I am very healthy otherwise so my story may be different from others. By the way, I turned 74 in the hospital!