Brian,
For me, having the low profile style has many advantages. It was like day and night as far as the problems with granulation tissue.
But, beyond the physical, it gave me a tremendous psychological boost. I find that it is easier to view myself as being "healthier" when I don't have a tube sticking out of me, and a part of my stomach contents on display. It is easier to forget its there when I'm not using it.
It is so unobtrusive that I recently wore a bikini on the beach and didn't feel weird about it.
Yes, mine has to twist a half turn to lock into place, but it can be used without locking it, and I usually don't turn it, on purpose anyway. There is a manufacturer of a similar style that is called the bard button. I am pretty sure this one does not need to twist to lock into place.
A friend of mine was in visiting over the holiday. Her 13 year old daughter remarked that my PEG looked like the air valve on a flotation device. Which prompted someone else in the room to say something about how I was a blow-up doll now, which so
completely embarrassed her 17 year old brother. 8) A very funny moment for all—that would never have happened if I had the other style.
http://www.bardaccess.com/feed-button.php?section=Overview
This is a link for this style button. I don't see anything one way or the other about if it needs to turn, but I remember reading somewhere else, back when I got mine exchanged for the mini-button, that this type was just a basic push in type plug.
In my experience, when I went it to have the PEG tube exchanged, the doctor did not tell me which one he was going to use, it was a matter of which one fit me better once they had the first one removed.
The biggie, and your doctor will know this anyway, is you do want a balloon on the inside, as you will need to be able to have it exchanged in the future without needing to be put under anesthesia
Just to be rid of the problems I was having tolerating the tube as far as the granulation tissue battle would be reason enough, but from the perspective of having had it for a while now, I would say that the morale boost is just as valuable.