Hi @onejoe, I agree, your wife needs a very experienced surgeon, but it's nice to see that her local surgeons are willing to admit that they aren't experienced enough. A consult at Mayo - Scottsdale is an excellent idea if you are in California, though I can only speak on my personal experience with Mayo - Rochester. (I had my Nissen done at the Mayo - Rochester by a thoracic surgeon named Dr. Francis Nichols. He's been doing these surgeries for more than 30 years, and I'd bet my life that he's done tons of corrections, redone these surgeries, etc. He's very nice, has a great bedside manner, and also a great sense of humor.)

As an aside, my brother had a Nissen fail a few years ago after he became sick... coughing and sneezing for several months made his Nissen fail. He had his redone at UVA (he lives in Virginia) a few years ago, and it's been good ever since! These can be successfully redone!