With this surgery they basically take the fundus of the stomach and make a collar out of it that surrounds the pyloric sphincter that controls the opening where your esophagus attaches to your stomach, and then they pull the collar tight to strengthen this area and prevent acids from moving upwards out of the stomach. You don't want this done by just anyone. Here in So Cal there are only two guys that have done hundreds of them, and it isn't something that you want someone doing for the first time. It sounds simple, but it is complex. The first month afterwards you are on a liquid diet while things are healing, and there are side effects during this period that are less than pleasant, but they go away. Since having it done, I am still on a PPI, but my nighttime heartburn etc. is gone. Remember that acid reflux leads to Barrett's and Barrett