Oh my word, no one ever told me that! The GI doctor suggested laproscopic surgery without explaining what type of surgery. I assumed he meant fundoplication. That is wrapping the upper stomach around the lower esophagus. Maybe that is where cutting muscles comes in. Sounds dreadful. My sister told me she had read somewhere that it's not unusual to have dilation 3-5 times before it takes hold. I feel pretty good after 3.