I don't have experience with silent aspiration. However, my daughter has a g tube. We were so afraid to get the g tube. I was scared of the surgery. And scared of officially having a child with special needs.
In hind sight, I feel like we waited way too long to make the decision. When we got the g tube, my daughters quality of life improved so much. Feeding was no longer a struggle. She started grow and develop so well.
Feel free to ask any questions you like.
Hang in there,