I had my SCS placed in a retro-grade fashion...and my doc uses only one incision for the whole enchilada. My incision is above the beltline, and slightly off to the left, so the pocket for my battery is nicely out of the way. I am extremely pleased with the placement, but it did hurt to lie down, or drive, etc for awhile following surgery. Keep in mind that in order to place the IPG in the front, they will need to tunnel through your flesh in order to connect the leads. This did not sound all that pleasing to me