This is my 2nd time around with the same Dr that performed the 1st one almost 14 years ago. Less pain than the first time around. I decided to stick with saline because it's safer if it releases in your body. Also the MRI's can be expensive if I opted for silicone gel. Mentor had a lifetime warranty on their products so that was a plus also. If you pay for their advantage plus option which is only 100 it will cover a good chunk of your operating costs within the 10 year. After