Hey don - I am well aware of this this is why I mentioned not being familiar with the medical system there. Unfortunately he's stuck with dealing with what is offered to him - however, he can up the game by doing a bit of research and finding out who is tops in the ENT field and who is considered the best surgeon for this type of surgery (and by not allowing location and distance to determine where his father receives treatment if at all possible - i know finances can have an impact on this which is unfortunate). This should be available to him with some questions and maybe use of the internet. A little research may shed some light. Also having a copy of the normal (NCI) guidelines for treatment of this disease and his father's staging when he goes to the the specialist should arm him with questions and concrete support.

hugs.