I was on omeprazole and then ranitidine for 10 years. I considered a fundoplication or linx at one point. I’ve been PPI-free for 2 years. Like others have said, tapering off is key. It’s really important to understand what is causing the reflux. In my case, it wasn’t a weak esophageal sphincter or excess stomach acid according to a manometry and other tests. After researching more alternative explanations, I think it was bad microbiome and low stomach acid along with too much processed food. What ultimately worked for me was elevating head of bed 6 inches, nothing to eat after dinner, high quality probiotics ( I take New Chapter), adding kefir and other fermented food items regularly, adding magnesium and zinc to my supplements, recognizing and avoiding my trigger foods, eating smaller portions, and chewing the heck out of food. I’m not recommending this regimen for you as I have no idea what is causing your issues and am not qualified to offer direction. I just want to share my success story because there was a time when it seemed hopeless that I’d get my situation under control. It’s not perfect, but much, much better. I wish everyone the best.