What Is Anti-Reflux Surgery?
Anti-reflux surgery corrects the underlying mechanical problem behind GERD: a weak or displaced valve between the stomach and esophagus that lets acid flow upward. The most common operation, Nissen fundoplication, wraps the upper stomach around the lower esophagus to rebuild a strong one-way valve. It is almost always done laparoscopically, through a few small incisions, and is frequently combined with repair of a hiatal hernia.
Dr. Nguyen tailors the operation to your anatomy, most often using one of these minimally invasive techniques:
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Nissen (360°) fundoplication — a full wrap that provides the strongest, most durable reflux control for most patients.
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Partial wrap (Toupet) with hiatal hernia repair — a gentler wrap tailored to your swallowing and anatomy when a full wrap isn't ideal.
Because the approach is laparoscopic, most patients stay one night or less and return to normal activity within a couple of weeks.
Do You Need GERD Surgery? Signs & Candidates
You may be a candidate for GERD surgery if you:
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Still have heartburn, regurgitation, or a sour taste despite daily acid-reducing medication (PPIs)
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Would rather not take reflux medication for the rest of your life
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Have a hiatal hernia, or reflux-related cough, hoarseness, asthma, or disrupted sleep
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Have complications of long-standing reflux such as esophagitis or Barrett's esophagus
Persistent difficulty swallowing, food getting stuck, unintentional weight loss, or vomiting blood should be evaluated promptly — these can signal complications that need urgent attention.
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