Hi Jim! It kinda was a hard decision; we were offered the pump about a year ago. No he will never operate the pump. depending on how much he needs daily to be comfortable, he will need to to into the clinic every 3-4 months for a refill. They program it remotely, wireless, in countless ways. It all depends on his needs. It is complicated, but these guys are all pros! Great to hear from you! Hi to Rose and hope all is well in Cananda!