Persistent heartburn, regurgitation, chronic cough, hoarseness, or difficulty swallowing can be signs of gastroesophageal reflux disease (GERD). When lifestyle changes and medications aren’t enough — or when long-term medication isn’t the right fit — surgical reflux treatment may be an option.
When to Consider Reflux Surgery
- Symptoms persist despite appropriate medical therapy
- Breakthrough reflux, regurgitation, or nighttime symptoms
- Medication side effects or desire to avoid long-term therapy
- Complications such as esophagitis, stricture, or Barrett’s esophagus (when appropriate)
- Hiatal hernia contributing to reflux
Symptoms We Commonly Evaluate
- Heartburn or chest burning
- Regurgitation (acid or food coming back up)
- Chronic cough, throat clearing, hoarseness
- Trouble swallowing or sensation of “food sticking”
- Bloating, nausea, or upper abdominal discomfort
Testing That May Be Recommended
- Upper endoscopy (EGD)
- pH testing (acid exposure measurement)
- Esophageal manometry (motility testing)
- Imaging such as barium swallow (when helpful)
Your exact workup depends on symptoms, prior studies, and surgical planning needs.
Anti-Reflux Surgical Options
The right operation depends on your anatomy (including presence/size of a hiatal hernia), symptom pattern, esophageal function, and testing results. We review risks, benefits, and alternatives to help you choose a plan that fits your goals.
Hiatal Hernia Repair
If a hiatal hernia is present, repairing the hernia is often an important part of reflux control. The stomach is reduced back into the abdomen and the opening in the diaphragm is reconstructed to support the esophagus.
Fundoplication
Fundoplication strengthens the valve between the esophagus and stomach by wrapping the upper stomach around the lower esophagus. Variations (full or partial wraps) may be considered based on your motility and symptoms.
Magnetic Sphincter Augmentation (Select Patients)
For select patients, magnetic sphincter augmentation is another minimally invasive option designed to reinforce the lower esophageal sphincter while preserving more normal anatomy.
Recovery & What to Expect
- Most anti-reflux procedures are minimally invasive
- Diet progression is required after surgery
- Return to normal activities varies by procedure and individual recovery
- Follow-up supports healing, symptom control, and nutrition/diet success
Risks & Considerations
All surgery carries risk. Possible issues after reflux surgery can include temporary difficulty swallowing, bloating/gas, nausea, or recurrence of symptoms over time. Your surgeon will review individualized risks and expected benefits during your consultation.
Schedule a Reflux Evaluation