I had Nissen fundoplication surgery (hiatal hernia repair) when I was 77. It lasted 2 and a half years. I am now 81 and have no desire to go through that again. I share your pain and disappointment. I am taking Pantoprazol (Protonix) and it is NOT keeping me from having reflux. My symptoms seem to be worse than they were before the operation, which was an emergency as my hiatal hernia had twisted. At present I am getting up and taking Mylanta when the burning starts, usually 2 to 3 hours after I go to bed. Anyone have any thoughts that might help?