The hoarseness didn’t sound pleasant to me so I guess it was best to get rid of that.IDK. I'm alone and nobody's called me, and I don't talk to myself. I assume that is going to be an ongoing issue. Voice changes with the VNS firing are not a side effect, but a given that I have to live with. The vocal cord paralysis was a complication that was a risk of the surgery. I can make the cartoon voice go away with the magnet, but I couldn't have done anything about the hoarseness without the injection.