Surgery For Gerd


Welcome to our health education library. The information shared below is provided to you as an educational and informational source only and is not intended to replace a medical examination or consultation, or medical advice given to you by a physician or medical professional.

During this surgery, called a fundoplication, your lower esophageal sphincter (LES) is re-created by wrapping the top of your stomach around the esophagus. It can sometimes be done with a laparoscope through several small incisions instead of a single long one, as in the traditional open procedure. As a result, there is less pain, a quicker recovery time, a shorter hospital stay, and lower risk of infection.


If the opening of the hiatus is too large (hiatal hernia), the doctor may tighten it with a few stitches (sutures). This repairs the hiatal hernia. Then the esophagus is lifted out of the way for a short time

Stomach being wrapped around the esophagus. This added support helps prevent reflux.


The wrap is permanently stitched in place. Two commonly used wraps are full and partial.



  • You will be given anesthesia and any other medications through an intravenous tube (called an IV). You will be asleep during surgery.
  • Your abdomen will be inflated with carbon dioxide gas to provide more space for your surgeon to see and work. (The gas is removed at the end of surgery.)
  • The laparoscope, which has a camera attached, is then inserted through an incision to send images to a video screen. Small surgical instruments are inserted through other incisions.


  • If your surgeon feels it isn't safe to continue with a laparoscopic procedure once surgery has started, he or she will complete the operation through a larger incision in your chest or abdomen. This is called an open procedure.
  • This surgery requires a longer recovery time, up to 1 week in the hospital and from 4-6 weeks at home.

Discover leading-edge gastroenterology care. Call Digestive Disease Consultants of Orange County at 949.612.9090 or simply use the Request an Appointment form.

Back to Library Index

Risks and Complications

  • Injury to the liver, spleen, esophagus, or stomach
  • Infection
  • Increased gas or bloating
  • Bleeding
  • An inability to vomit
  • Difficulty swallowing
  • Failure of the operation to eliminate GERD
Our Locations

Choose your preferred location