Acid reflux (GERD) surgery in Los Angeles

When reflux surgery is considered, the tests that come first and the main surgical options.

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What it is

Gastroesophageal reflux disease (GERD) is frequent backflow of stomach contents into the esophagus. Anti-reflux surgery strengthens the barrier at the lower esophagus. The best-known operation is fundoplication, in which the top of the stomach is wrapped around the lower esophagus. A magnetic sphincter augmentation device is another FDA-cleared option for selected patients.

Who may qualify

Surgery is generally considered for people with objectively confirmed GERD whose symptoms persist despite medicine, who cannot or do not want to take long-term medicine, or who have a hiatal hernia. Work-up usually includes upper endoscopy and reflux (pH) testing, and sometimes esophageal manometry. Chest pain should always be evaluated by a physician.

What recovery can look like

Operations are usually laparoscopic or robotic-assisted, often with a short stay. Most people eat a soft diet for a few weeks. Temporary trouble swallowing, bloating and reduced ability to belch are common early on.

Risks to understand

Risks include difficulty swallowing, gas bloat, diarrhea, bleeding, infection and, over time, return of reflux or a need for further surgery. Results vary and nothing is guaranteed.

Insurance and questions to ask

Insurers often require documented testing and a trial of medicine before approving anti-reflux surgery. Ask which tests, which records and what prior authorization your plan needs.

Informational website. It is not a medical practice, does not name or imply any particular doctor, and does not give medical advice. Using it does not create a doctor-patient relationship. Content is general education only; talk to a licensed physician about your own care. Last reviewed: November 2026.