Hi @drrobertsmsmft, the LINX procedure is a great alternative to a Nissen Fundoplication. Instead of wrapping the stomach around the base of the esophagus, they use a small device. The LINX company's home page shows a photo of the device: http://www.linxforlife.com. And if you Google "Mayo Clinic LINX", you can watch several videos about it.

With that said, I had to have a Nissen Fundoplication because my Mayo doctors said that my hiatal hernia was too large. Many insurances also will not cover it, so be sure to check out whether or not your insurer will cover it if you proceed.

As an aside, I became very ill from taking PPIs for 12 years. Genetically, I don't properly-metabolize them *plus* these drugs also inhibit the enzyme they themselves need to be metabolized. Though prescribed long-term, the packages state not to take them long-term.