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If he's doing a lot of coughing, have him seen by his doctor. You asked about him having surgery; are you asking about the myoectomy or transplant? My daughter was diagnosed with HCM (also known as IHSS) when she was 6 years old. We've been through a lot over the years! Have been everywhere from Great Ormond Street in London, to Houston to the national Institutes of Health in Bethesda. If I can help you, please feel free to write to me.