Is there a surgery to fix acid reflux?
Noah Mitchell
Published Jan 07, 2026
A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD). During the procedure, a surgeon creates a sphincter (tightening muscle) at the bottom of the esophagus to prevent acid reflux. Most people notice a significant decrease in acid reflux symptoms after the surgery.
How successful is surgery for acid reflux?
The success rate for the minimally invasive surgery is 90 to 95 percent for patients who have the typical symptoms of GERD, such as heartburn, regurgitation, or belching.
Can acid reflux be cured with surgery?
Surgery is very effective in treating GERD. The most common operation for GERD is called a fundoplication. Doctors have done this surgery through an open incision in the belly since the late 1950's, and with a minimally-invasive approach using multiple small incisions since the 1990s.
When do you need surgery for acid reflux?
The most common reason for surgery is heartburn that doesn't go away with medications and lifestyle changes. Surgery may also be an option when you have: Severe inflammation of your esophagus, the tube that runs from your mouth to your stomach. A narrowing of your esophagus that's not caused by cancer.
How long does it take to recover from GERD surgery?
How quickly you recover depends on which type of surgery you had. After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work. After open surgery, you may need 4 to 6 weeks to get back to your normal routine.
42 related questions foundHow do you fix GERD permanently?
Surgery for GERD
The goal of surgery for reflux disease is to strengthen the anti-reflux barrier. During a procedure known as a Nissen fundoplication, your surgeon wraps the upper part of your stomach around the lower esophagus. This enhances the anti-reflux barrier and can provide permanent relief from reflux.
How do you get rid of acid reflux permanently?
Try to:
- Maintain a healthy weight. ...
- Stop smoking. ...
- Elevate the head of your bed. ...
- Don't lie down after a meal. ...
- Eat food slowly and chew thoroughly. ...
- Avoid foods and drinks that trigger reflux. ...
- Avoid tight-fitting clothing.
Is Nissen fundoplication major surgery?
Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding. Infection.
Is acid reflux surgery painful?
Pain. There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation.
How much does acid reflux surgery cost?
Surgery for GERD may cost anywhere between $7,000 and $22,000. 9 The Nissen fundoplication is the most common procedure that is used and may be covered by insurance. Check with your insurance carrier about the cost of this surgery and what is covered.
What kind of doctor does acid reflux surgery?
A gastroenterologist is a physician with specialized training in managing diseases of the gastrointestinal tract (esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver).
Is Nissen fundoplication safe?
Laparoscopic Nissen fundoplication is a safe and effective treatment for refractory esophageal reflux and its complications and has the extra benefit of reduced hospital cost and stay and a more rapid return to work.
Can you throw up after acid reflux surgery?
You will probably not be able to vomit after fundoplication surgery. When you were discharged from the hospital, you were given a prescription for Compazine (Prochlorperazine). This is for nausea and vomiting. Keep it with you just in case.
Is GERD surgery common?
Fundoplication is one of the most common surgeries used to treat heartburn caused by gastroesophageal reflux disorder (GERD). GERD is a chronic backup of stomach acid or contents into your esophagus, the tube that food goes down when you eat.
How long does reflux surgery last?
The surgeon is guided by images transmitted from a lighted camera in the laparoscope inserted through one of the incisions. Laparoscopic Nissen fundoplication is performed under general anesthesia in an operation room. The procedure may take up to three hours.
How many years does Nissen fundoplication last?
Although widely quoted, the study of DeMeester et al,3 which demonstrated a positive outcome for 91% of patients undergoing open Nissen fundoplication, extrapolated a 10-year outcome through an actuarial analysis with a series that reported an average follow-up of 45 months.
Is a Nissen fundoplication worth it?
Overall outcome was described by patients as excellent 43%, good 38%, fair 11% and poor 8%. Conclusion Majority of patients undergoing Laparoscopic Nissen's fundoplication had good long term control of acid reflux and were happy with their decision to undergo surgery.
Who performs fundoplication surgery?
Your gastroenterologist will discuss your procedure and results with you before you are discharged. After the procedure, you can eat clear liquids only for the first 24 hours. Following that, you will have one week of full liquids, then one week of soft foods.
Why do I have acid reflux all the time?
Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus. This can cause heartburn and other signs and symptoms. Frequent or constant reflux can lead to gastroesophageal reflux disease (GERD).
Does water help acid reflux?
Water. In general, drinking water can help balance the pH of a particularly acidic meal, which may help to lower the risk of acid reflux. Studies show that drinking mineral water with a high hydrogen carbonate content can help to alleviate the frequency and severity of acid reflux.
What is the strongest medication for acid reflux?
PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. They have few adverse effects. However, data have shown that PPIs can interfere with calcium homeostasis and aggravate cardiac conduction defects.
What are the 4 types of GERD?
GERD is broken down into different stages based on how serious your symptoms are and how often they occur:
- Stage 1: Mild GERD. Minimal acid reflux occurs once or twice a month. ...
- Stage 2: Moderate GERD. ...
- Stage 3: Severe GERD. ...
- Stage 4: Precancer or cancer.
Is GERD serious?
Is GERD (chronic acid reflux) dangerous or life-threatening? GERD isn't life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems: Esophagitis: Esophagitis is the irritation and inflammation the stomach acid causes in the lining of the esophagus.
How painful is Nissen fundoplication?
Abdominal pain and chest pain following laparoscopic fundoplication were reported in 24.0% and 19.5% of patients respectively. Pain was mild or moderate in the majority and severe in 4%. Frequency of pain was not associated with operation type.
Does Nissen fundoplication lose weight?
Nissen fundoplication, gastric sleeve surgery and Rous en Y gastric bypass all have the gastric fundus in common. Whether the gastric fundus is wrapped, excised or bypassed the end result is the same: weight loss, decreased meal size, early satiety, and lower Ghrelin levels. In addition, there is decreased acid reflux.