Well, as soon as I started trying to follow Spazmelda's post, I got lost. I'm not scientific minded. I do think, from watching my father die and what his doctor told me, his lungs were like a sponge and held moisture because of smoking for so many years. After smoking for so long your lungs become spongy and hold moisture. Which means, from what I have seen in life experiences and sad situations in friends and family members, is that if you get really sick and have any life threatening situation and need surgery, the lungs are VERY important to restabalize yourself. Usually you get fluid in the lungs which poses a huge problem for smokers. Now nicotine, on the other hand, even though we are vaping, a person like me that suffers from high blood pressure, has another problem to deal with. Nicotine won't kill you, per say, but if you suffer from high blood pressure, you should be careful and try to lower your nic level if possible. That's my opinion on all of it, non-scientifically. But yea, if you are a heavy smoker and have sucky lungs and go into major surgery of any sort, you better be praying your lungs will sustain you.