Acid reflux occurs when stomach contents travel up into the oesophagus. The result can be burning behind the breastbone, a sour taste, belching, cough, or voice changes. Lifestyle changes and acid-suppressing tablets help many people, but others continue to have troublesome symptoms or side effects from long-term medication. A hiatus hernia, where a portion of the stomach moves up through the diaphragm, can make reflux more likely.
When to seek a specialist opinion
If symptoms persist despite treatment, if you have frequent regurgitation or nighttime symptoms, or if you prefer to avoid long-term tablets, it is reasonable to ask about surgical options. You should also seek review if you have difficulty swallowing, unintentional weight loss, vomiting blood, or black stools.
How reflux is confirmed
Assessment starts with a careful history and examination. Tests may include endoscopy to assess inflammation or hernia, and pH monitoring and manometry to measure acid exposure and the function of the swallowing muscles. These results help determine if you are a good candidate for surgery and which operation is best.
Treatment options
For suitable patients, laparoscopic anti-reflux surgery repairs the hiatus hernia and strengthens the anti-reflux valve using a wrap of the upper stomach around the lower oesophagus. The exact technique is tailored to your swallowing pattern. The operation is performed through small incisions under a general anaesthetic and is commonly a day-case or single-night stay.
Benefits and possible side effects
Surgery can provide long-lasting control of heartburn and regurgitation and reduce reliance on medication. In the short term, some people notice bloating, increased wind, or a sense of tightness when swallowing. These effects usually settle as swelling improves. Rare risks include bleeding, infection, persistent difficulty swallowing, and recurrence of symptoms.
Diet and recovery
For the first two weeks, a soft diet and small, frequent meals help. Chew well, drink fluids with meals, and avoid fizzy drinks early on. Most people return to desk work in 1 to 2 weeks and build up activity over 4 to 6 weeks. Your team will provide tailored advice for exercise, driving, and lifting.
Is surgery right for me?
The decision is individual. If your tests confirm reflux and you remain symptomatic on medication, or if you prefer a definitive option, surgery may be appropriate. Your surgeon will discuss benefits, risks, and alternatives so you can make a confident choice.
Next steps
If you are considering surgery or want a tailored plan for ongoing symptoms, book a consultation to review your history, test results, and the most suitable treatment.