Ilene, I know two women who have had this surgery, one about 15 years ago, and one earlier this year. In the first case, the woman lost weight gradually and kept it off for all the years I knew her. In the second case, the woman is still eating the wrong things, but is losing some weight. I know there is a risk factor associated with this surgery, so if he is to have it, I would suggest that he makes sure the surgeon has done many. Perhaps ask to speak to some of his/her patients. Personal opinion, I think Weight Watchers would be a better place to begin, if he is committed to losing weight. My husband lost 50 lbs. by a combination of exercise and my learning how to cook tasty no and low fat meals (I hide my rich, chocolate ice cream in the back of the freezer - grin). Several of non-surgical options here. I think you are right to be concerned.