The worst of my first surgery was waking up still intubated, and then being allowed to become fully alert, still intubated. I was led to believe that I would be disconnected when I awoke. I thought I was going to die from choking. Luckily, my nurse saw how freaked out I was and gave me the suction device, and so I was suctioning myself, which helped me calm down. After that surgery, I've always told my anethesiologist that I want that breathing tube out before I wake up. And I've had 2 more surgeries now, and have not had a repeat of that first time. I can agree with all the other posters on their thoughts, too.