Its really a pretty personal decision. The peg tube allows a pals to receive nutrition, fluids, and medications. At any time they can decide to receive any or none of them. If you are not in need of the tube for regular feeding/medication right now but need to make a decision because of breathing issues, you should know that daily care is minimal. Initially you change a dressing and run a syringe of water thru some tubing that you hook up to the peg. After the healing has occurred, you do daily flushes with water. We have had no problems with the maintenance. I like my pals having it because he was losing weight. If he is too tired to eat or just having a tough day I could supplement with the liquid nutrition. My pals breathing became compromised early and continues to decline so he had to decide very early on about a peg. We feel it was the right decision. The procedure here is done with a one night hospital stay if your breathing is compromised. The procedure takes about and hour then the pals goes to recovery. You can see them and follow them to their room. Our hospital offered a reclining chair for the overnight. In hospital, a feeding company nurse came and showed us how to use the peg, the discharge nurse also showed us how to use it, then a home health nurse reviewed everything with us. We were left with materials and a phone number if we had any additional questions or problems