@btowngal - I will start off by saying that I am a Canadian so my experiences may be different than most Americans experience. I had my first open Nissan in 1988 and at that point it was a new surgery and I was advised then that they couldn’t give us any idea of how long the Nissan may last or what the long term side effects could be. It was a terrible experience when it was done and I swore that I would never have a repeat. I had my repeat Nissan 15 years which was about what they had expected. I had that done laparoscopically which was far easier to recover from it was still a poor experience. Both times I needed to have my throat stretched 2-3 months after the surgeries as the wraps were too tight and I couldn’t swallow more than jello. I have had my wrap rechecked several years ago and they say it is still intact but my swallowing is becoming more and more comprised and I can’t get above 105 lbs. I had been so ill with other gastro issues as a result of the Nissan’s that I was down to 90 lbs and my gastro dr wasn’t too concerned. I have severe back pain, sciatica, spinal stenosis, gastropareisis and gas bloat syndrome. About every 6 weeks I experience terrible pain and bloat as a result of the gastro stuff that I have to take enough pain meds to knock myself out for hours as the pain is almost unbearable; as well as severe dry heaving that goes along with it. Since I can’t throw up at all the nausea goes on and so does the dry heaving. About 3-4 days later I eventually pass everything through painful diarrhea. I just had a colonoscopy and won’t get results until early December. My Dr has dragged this testing out over a year and only because he finally saw me and realized how bad I had become. There seems to be several new procedures for acid reflux which seem to be much less invasive than when I had my first surgery. I wish that I had never started down this path. I don’t think that I would ever have another Nissan done as my body couldn’t it. Best of luck to anyone dealing with these issues.