I had a Nissen Fundoplication back in 2020, and I haven't had more than two issues with reflux since then. HOWEVER, my hernia has grown by 50%, making it a "giant" hiatal hernia, while the mesh is solidly in place despite my heavy lifting and straining that I can't seem to avoid. I have gone back to my surgeon as well as had a second opinion by another surgeon and advice of my regular gastroenterologist. All recommended no additional surgeries because the risk of failure is too high and the benefits too small. They all said that eliminating the reflux was the goal, and that has been achieved. Meanwhile, I have gone on an aggressive weight loss campaign, and that seems to help.