@evanssandy34 ... Welcome to the Club of Failed Nissens... I am 84 now.. had the Nissen 6 yrs ago for GERD.. at my local central Iowa Hosp./surgeon.. Again worse decision I ever made.. They damaged enough of that hairnet like nerve system that makes the stomach work.. that My Mayo GI Doctor called it Post operative gastroparesis.. Every meal is a challenge.. the best you feel each day is in the morning when stomach is empty... I had lost 50# before going up to Mayo.. to have them give me a way to cope.. I have gained back 40#.. but it is a battle every day .. Mayo prescribed a Mirtazapine to make me want to eat... and I know I have to eat.. everytime I go through the kitchen.. put something in your mouth.. pack a snack bag to go to work.. eating out gives you twice the food you can eat.. and not be bloated.. but You know and I know eating is not optional.. it is a requirement.. When I have guests, not often... they are amazed I don't weigh a ton.. but Vitamin Pills, generic Nexium, probiotics, gas-x..keep me going with some stability... Good Luck.. Mayo told me the Nissen could NOT be taken down.. We are stuck with it.. Ken