Dear patient, i understand your need to smoke because of the addictive nature of smoking. however the recommendations are clear: Do not return to smoking. smoking will increase your risk for lung cancer, bladder cancer, renal cancer, ENT cancers, esophageal cancer, pancreatic cancer. It will decrease your fertility, it will increase your blood pressure and will cause heart problems, strokes, infarctions. Smoking is not advised in any situation and should be discouraged by all physicians. No doctor will ever tell you it s fine to smoke. however to treat your dependence on smoking you can use nicotine patch or nicotine gums to decrease your need for smoking, also some medications such as buproprion and varenicline will help you a lot to get rid of this habit. Best regards