I am seeing my PM doc this morning and I am really sick of the monthly visits and run around every month. The pain pump was offered to me at one time but I always felt I would eventually no longer need meds so I declined. Well that hasnt been the case. Ive come to the conclusion that my pain is here to stay and am considering talking to my PM doc about the pump. Does it work for you? Do you still need breakthrough meds? Where is it placed and how noticeable is it? How often do you need refills? LOL. I guess what I am asking is "Is it worth it?" Thanks for any advise or experiences anyone can give me.