Good morning to rbcookson! I read your post and was motivated to re-read my post-surgical dairy (I suggest you maintain one yourself) to gain perspective on the swallowing struggles you're experiencing post-ACDF. I didn't see how many levels you had? At any rate - it was at the 5-6 week point (per my diary) that I noted a marked improvement in swallowing ability. I'm now 7+ months post ACDF (4-level) and swallowing isn't of any concern. Point is - you will turn a corner soon and be able to focus on something else. Wishing you the best!