Installing My Chemo Port

Mar 6, 2013

During my first chemotherapy session, I didn’t have a port installed yet, which required the medication be administered intravenously in my arm. A port is a much more efficient method, and doesn’t cause the problem of diminished vein quality over repetitive, long term use. So, what exactly is this so called port ?

Chemo Port Diagram As It Would Be Implanted

Drawing of a chemo port as it would be implanted

In simple terms, a chemo port is a device that gets implanted just below the skin, and connects to a blood vessel near the heart.

Because of it’s size, one advantage to having the port is that it’s much easier to insert the IV connection for chemotherapy. Another advantage is that there is no diffusion of the medication as it makes it’s way through the veins in your arm on the path to your heart. (see diagram to the right)

The port process begins with the selection of the specialist who will do the installation. This is typically done by a blood circulatory expert. My oncologyst’s normal referral partner wasn’t part of my insurance group, so he recommended one from the list of approved candidates.

The procedure itself is outpatient surgery taking less than two hours. It involves a small incision in the upper chest area. In my case, the right side, although I’m not sure if it makes any difference.

Your favorite author in the recovery room after having my chemo port installed.

In the recovery room after my chemo port installation.

During the surgery, I was well medicated floating in and out of consciousness. There was nothing painful or uncomfortable during the procedure. I was in recovery for a short time after surgery, and then allowed to go home.

Over the next couple of days, I noticed a bit of itchiness around the incision, but no real discomfort or pain. It does feel weird to the touch though. The skin over the port has no feeling, and the port itself protrudes enough that it is visible under a light shirt.

All in all, the whole process wasn’t much of a disruption to my normal day to day life, and will surely make things much easier during my chemo sessions.

There is however, a situation that I would like to share with you about my experience with the specialist who performed this procedure. The reason I bring this up, is that I’ve mentioned many times how much confidence I have in everyone I’ve dealt with since the beginning of this journey. All involved have been responsive, courteous, and professional…. until this person.

My wife contacted his office two weeks before my first chemo session to get scheduled for the port install. They were to call back later with a date for the procedure. After nearly a week, there was no return call. My wife then had to call them several times over the next week to get them to respond with a date and preliminary office visit. I had a bit of a bad feeling about this.

“Is this guy capable of doing my surgery, because I’m not feeling good about this situation.”Nick

The day of the procedure, I was prepped for surgery, and when it was time to start (7am), the doctor hadn’t arrived yet. One of the nurses said he had just called, and said he’d be there in 10 minutes. After 30 minutes passed, I became uncomfortable enough with the whole situation, that I asked the nurse point blank: “Is this guy capable of doing my surgery, because I’m not feeling good about this situation.” She assured me that he was a good surgeon, just a bit disorganized. Abut an hour later, he finally showed up.

If I had it to do over again, I would have tried to find another surgeon at the first sign of doubt. In the end my port works fine, and I don’t have any issues with it so far.

Since the day of the surgery, I have never heard from that doctor. I would have expected at least a follow-up to see that it was healing properly, but nothing. When it comes time to remove the port, I’ll certainly employ the services of a more professional specialist.

Please feel free to comment here, or send me an e-mail if you have any questions or want to share your story. I’d like to invite you to continue to follow along as I document the details of my journey.

Thanks for visiting, and be sure to share this with someone who may benefit from it.



posted on November 15, 2013Reply

Your post so impressive. My brother is going for chemo port in couple of days can u suggest any complication would occur ? And also let me know the precautions to be taken!


posted on February 20, 2014Reply

Thank you so much for sharing your experience of your port. I’m so glad I found your story. My sister will be having a port installed for her chemo/stem cell transplant for multiple myeloma and I was concerned about how much pain she will experience with the port installation. You have helped me greatly – I feel like I can let that concern go. Thank you so much for sharing…God bless you…


posted on February 21, 2014Reply

Thank you for the kind words. I wish you and your sister well. Always maintain a positive outlook, no matter what. Sometimes I think it was harder for my wife than it was for me, so I understand how you feel.
Take care…


posted on April 21, 2014Reply

Thank you so much for sharing your experience with having a port installed. I have had renal cell carcinoma since 2009. I had my right kidney removed in 09 and then in 2011 a stable tumor moved into my spine and destroyed my T8 and T9 vertebrates. I had a spinal reconstruction that has left me with severe pain and some mobility issues since then.
I have had several bouts with pneumonia and been hospitalized for it on five occasions. I dread all the needle sticks and am down to about one reliable vein left.
Tomorrow I am scheduled to start on Zometa to help with the cancer pain in my spine and ribs. This is being done by IV infusion. I have toyed with the idea of a port for a couple of years because of the pain from being jabbed over and over, but have been a little leery of the procedure.
Your post has convinced me to get a port done since this will be a monthly recurrence if it works.

Thanks very much for sharing and best of luck with your battle.


posted on April 22, 2014Reply

Glen, I’m sorry to hear of everything you’ve gone through. It sounds as though a port would be a good option for you, and I’m glad that you found this article helpful.

I wish you all the best in the future.


posted on August 28, 2014Reply

Nick I am getting a port installed as I will be undergoing a bone marrow transplant soon . I totally understand your trepadation when surgeon was late . I had an awful experience about a year ago before and during a bone marrow biopsy and aspiration . The PA was late so my oncologist began the procedure and I don’t think he had done a bone marrow biopsy since medical school in Prague I few decades ago . The PA and my oncologist began arguing then the PA stormed off . My oncologist injected the local anesthetic which numbs the skin and muscle not the bone unfortunately he did wait long enough to have it take effect and started biopsy the long needle device was extremely painful upon insertion and the needle actually got stuck in my hip after being threaded . I swear I had an out of body experience anyway I survived but one detail they should usually remove all bloody gauze and such when I rose off table and sat up I saw a large pile of bloody gauze it made me woozy . Very rare incident and I hope I took the bullet for everyone . We have to stay positive !


posted on December 25, 2014Reply

How soon were you able to return to work after having the port installed?


posted on December 27, 2014Reply

For me it was a matter of a few days. If your job required any type of physical exertion, my guess would be more like 10 days or so. Your doctor can give you the best advice there.

Mia marmorale

posted on June 17, 2015Reply

My father was recently diagnosed with stage 4 stomach cancer. Of course the doctor suggests chemotherapy but my father has lost so much weight already( he weighs 97 lbs). His average weight is 110 usually. He feels that the chemo is going to kill him because he’s so weak and thin but has agreed to try it. I’m concerned about the metaport and the anesthesia because he’s so weak. He’s 82 years old. Any advice as to if I should be worried? They did suggest a picc line also but I don’t like the idea of that either. Any feedback would be helpful from your experience. Thank you.


posted on July 13, 2015Reply

Hi Nick, thanks for sharing. I am having a port put in next week. Should I have someone to drive me home?


posted on September 23, 2015Reply

I have received IVIG infusions for hypogammaglobulinemia via an IV every 6 weeks or so for the past three years. My one good vein is giving out and I am debating getting a port. I have reservations. My husband had a port installed 8 years ago for chemo and he thought it was painful. The surgeon had difficulty getting the port into place because my husband is 270 lbs and 6’3″”–a large man. Ports are made for average size people–which I am, but I am still fearful. How do I find a competent surgeon. Should I consult my husband’s oncologist? I am given infusions by an infectious disease specialist.


posted on October 27, 2015Reply

Just wanted to tell you that your post continues to be helpful. We’re just getting started on this journey (port installed this week) and your story was encouraging.

Kathy DeVillers

posted on October 28, 2015Reply

Thank you so much for writing your article. I have to have a port installed next week & I was really afraid of it. You have made it sound much more like a normal procedure. I’m sure this will be better for me as I don’t like needles in the first place.


posted on November 14, 2015Reply

Boy I wish I had seen this post before I started all of my chemo. I was very leery when the doctor suggested a port and I thought I’ve got grapevines no big deal. Boy was I wrong. After 11 of my 12 chemo treatments I have no vines left. Sometimes they have to stick me to three Times to find a vein that will except it. If anybody has any doubt about using a port don’t. it’s the best way to do it. In hindsight I would have had a port put in in a second. I have chemo treatments every two weeks. That really puts the stress on any of your veins.

Your comments about a good mental attitude are right on spot. I have a very positive outlook on life itself and with my wonderful family team and a great team of doctors I knew from the very start that this was a done deal.


posted on January 1, 2016Reply

Thanks, Judy. I’ve been tripping since yesterday when the doctor told me I’d need a port. The nurse was so nice and empathetic, but the idea of this thing under my skin just freaked me out! Thanks for the heads-up!


posted on January 10, 2016Reply

I would like to extend a sincere thank you to everyone who took the time to write about their own experiences with the port installation. Unfortunately I am scheduled for this procedure on Wednesday morning the 13. Besides feeling like a freight train has plummeted through my world with the news of a diagnosis of stage 3 invasive ductal carcinoma breast cancer I have been absolutely terrified of having a port and your stories have help elevate some of my fear. Thank you! I am doing my best to stay positive and know the importance of a positive attitude. I agree with the person who stated that it can be more difficult for the ones who love us for i see the concern, pain, fear and frustration of not being able to fix or protect me in my beautiful best friend, lover, husband of thirty years eyes who wont leave my side and words cannot convey how much his actions of unconditional love means to me. I look like a very healthy woman for I am in excellent shape because I am very active but on top of this ugly uninvited monster taking up residence in my body i also have graves disease on top of extremely difficult to control high blood pressure. I am sharing this info because am curious if anyone else had this port installed with high blood pressure issues and if so how did they do during and after surgery? I know everyone reacts differently but am curious to any issues if any that were concerning. Thank you again as your post have helped lessen my fears and stress. I wish the best to each and everyone and may our lives be filled with absolute positive things, wonderful health and happiness.


posted on January 28, 2016Reply

My port is being installed in an hour and as terrifying as it may seem or as uncomfortable as it may look. The positives outdo the negatives. It’s the first step in a yearly treatment that will help save my life! Frankly, my outlook approaching this same shocking invasive cancer is…. if it’s the size of an AA battery just get it in and get going.

Trusting my recovery teams research and experience, my faith and support from family and friends is one thing I’m sure of. All the best to all cancer patients!

karen garetson

posted on April 15, 2016Reply

my daughter-in-law is diagnosed with breast cancer, she is 41, and the doctors are having her do Chemo first and are installing a port. I know she will do good because she has a lot of people supporting her. I wish you well in your treatments and recovery.


posted on May 9, 2016Reply

I just finished chemo in December of 2015. I am glad to say that at my last CT scan I am cancer free. I am going to be having my port removed in the next few weeks. I found this web site for my Mom however, she was just diagnosed today with CLL. She is 81 . After having just completed chemo myself I am hoping she will not have to go through this, not sure she could handle it. The physical part is tough enough but emotionally I don’t think she is up for it. I appreciate this blog to get more information about what we as a family are about to go through… Again.

Sharon Pettit

posted on July 8, 2016Reply

How long does the surgery take to put a port in your chest? Thanks


posted on July 8, 2016Reply

The surgery itself was about 2 hours, and I was released after another 2 hours of recovery and monitoring.


posted on September 16, 2016Reply

Thank you for posting this. I found it in a Google search for “CLL and port”. I have CLL, damaged veins from IV potassium and am undergoing IVIG therapy every 28 days for continued infections. A port was the last resort due to the infection issue and my oncologist approved it today after three sticks and a failed IV after an hour. It took three more sticks to get another IV going and finish treatment. This is my third round with the other two also taking three sticks each. My question is have you had any problem with infection at the port site? That is what I’m worried about. Thank you for any experience you wish to share. It really helps! Prayers for positive results on your cancer journey. 🙂

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