I wasn’t given a choice and did not know until I went to another hospital to have it removed and I was given that information. I doubt that many surgeons discuss the installation process with their patient. My Doctors acted like it was very routine and no big deal. They dug a pretty deep hole in my shoulder and it was uncomfortable every day. Most people don’t have my complication, but I wanted to post because, why use the riskier method?? Patients like us should know to ask questions. If you need one, get one, but ask the questions.