Laparoscopic Fundoplication · GERD · Hiatal Hernia

Anti-Reflux Surgery in Puerto Vallarta

When reflux and heartburn become chronic despite medication, anti-reflux surgery offers a definitive solution — not just symptom management.

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What are the symptoms of chronic reflux?

Occasional gastroesophageal reflux is common, but when it becomes frequent and persistent despite medical treatment, it may indicate a condition that requires surgical evaluation:

Frequent heartburn or burning in the chest, especially after eating or lying down
Regurgitation of food or acidic liquid into the throat or mouth
Difficulty or pain when swallowing
Chronic cough or hoarseness with no apparent cause
A feeling of a lump in the throat
Symptoms that persist despite taking medication regularly

When is surgery necessary?

Anti-reflux surgery is considered when symptoms persist despite adequate medical treatment with medication, when there is a significant hiatal hernia contributing to reflux, or when the patient prefers a definitive solution over lifelong medication. Diagnosis is confirmed with studies such as endoscopy, pH monitoring, or esophageal manometry, which help determine if you are a candidate for surgery.

What is the procedure like?

Laparoscopic fundoplication is the most commonly used technique — it involves wrapping the upper part of the stomach around the lower esophagus to reinforce the natural valve that prevents reflux, as well as repairing the hiatal hernia if present.

Your previous studies (endoscopy or others) are reviewed to confirm that you are a candidate for surgery.
The procedure is performed under general anesthesia, laparoscopically.
If a hiatal hernia is present, it is repaired as part of the same procedure.
The esophageal valve is reinforced by wrapping part of the stomach around the lower esophagus.

Key difference: Unlike medications, which only control acid, anti-reflux surgery corrects the physical mechanism causing the reflux.

What is recovery like?

Recovery from laparoscopic fundoplication usually takes 2 to 4 weeks for normal activities. A soft diet is recommended for the first few days, gradually progressing. Most patients notice significant improvement in reflux symptoms within the first few weeks.

Frequently asked questions

Does surgery completely eliminate reflux?

Most patients experience significant improvement or complete resolution of symptoms. Results vary case by case, and this is discussed in detail during the consultation.

Will I be able to stop taking my reflux medication?

Many patients are able to reduce or eliminate the need for medication after surgery, though this is evaluated individually during postoperative follow-up.

Is it the same as hiatal hernia surgery?

They are related — many hiatal hernias cause reflux, so they are frequently repaired in the same procedure along with fundoplication.

What studies do I need before surgery?

An endoscopy is generally required and, in some cases, additional studies such as pH monitoring or manometry. This is defined at the initial consultation.

Do you accept medical insurance?

Yes, major medical insurance is accepted in addition to self-pay.

Does reflux persist despite medication?

Book your consultation and find out if anti-reflux surgery is the solution for your case.

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