I have two suggestions for the mother who is reluctant to use surgical tape with the SNS. First, hair setting tape (pink and available in every drugstore in the USA) is extremely gentle. Second, once a mother and baby get the hang of it, there is no reason to tape the SNS in place. I have abundant personal experience with this as I used devices with all three of my babies (adopted and induced lactation/relactated) and with lots and lots of clients. I advise mothers to use the tape as a "3rd hand" whwn the baby is in a squirmy, hands everywhere, mood. When the baby is relaxed, the mother can hold the SNS along the nipple with her forefinger as the baby latches. SHe moves her finger out of the way as the mouth closes. SHe can adjust the length of the tube once the baby latches. Idelaly she should feel the supplement drip over the end of her nipple. (It helps to feel this if the supplement is cold--and the flow should be slow enough that there is no need to warm it.) If the baby needs an instant flow to get started, the mother can puch on the SNS with the heel of her hand as the baby latched. When the baby doesn't need the instant flow to get started, I advise mothers to start without the SNS in the baby's mouth. After the baby is latched, the mother can work the SNS into the mouth. This is a lot easier thatn it sounds. It gives the nursing couple the flexibility to "empty" the breast, then supplement at the breast by adding the SNS. I find this insures better growth of the milk supply. All 3 of my kids and many others I have worked with quickly (a couple weeks) learned to open a little to accomodate the tube without losing the latch. They felt a tickle on the lip, opened slightly and the tube was in place. No tape needed. WOrking with the SNS is quite easy--just remember that whatever works for a particular mother and baby is OK. Warmly-- Judy Gelman, IBCLC Washington, DC