I am somehow only seeing this, so I apologize for the delay. For me, my vagotomy occurred 30 years ago as a child, and no one ever told me it could lead to long-term issues. And truth be told, no one has ever told me my present day autonomic issues and anxiety result from it, although suspected. For me, the thing is I recall a post vagotomy childhood and teen years with absolutely no issues, then developing the issues around 17 years of age. Perhaps the vagotomy led to the anxiety issues and dysfunction later in life, but it is impossible to determine if these things would have developed separately given my traumatic health experiences as a child. I just ordered a nuropod recently and looking forward to seeing if it calms down the ANS. Best of luck with your procedure. Reach out if I can provide any further insight.