Yes, it's real. Low Level Laser Therapy (LLLT, aka cold laser) has been used therapeutcially with quite a bit of success for things from addiction treatment to carpal tunnel syndrome. I didn't look at the pic, but most people using it with smoking cessation are using the laser over acupuncture points traditionally used for quitting smoking, which actually works quite well. Most people in the USA doing this use the laser in conjunction with auriculotherapy, which is a type of acupuncture focused on acupuncture points in the ear. I've heard nothing but good things about acupuncture for smoking, but it seems like it's a mixed bag for the laser treatment as of right now. Probably has to do with the HIGHLY confusing laser market available to doctors right now.