Anti-Reflux & Hiatus Hernia Surgery

Struggling with reflux, heartburn, or regurgitation? You’re not alone—and you don’t have to put up with it.

At Even8 Surgical, we offer expert, personalised care for gastro-oesophageal reflux disease (GORD) and hiatus hernias, including advanced surgical solutions when medications aren’t enough, and revision surgery for those with more complex surgical needs.

Understanding Reflux

Reflux occurs when acid or bile escapes from the stomach and moves up into the oesophagus.
 It can cause:

Burning in the chest (heartburn)

Fluid or food coming back up (regurgitation)

Chronic cough or throat symptoms

Voice changes

Poor sleep, especially lying flat

Often, the root cause is a hiatus hernia—when the top part of the stomach pushes up through the diaphragm into the chest cavity.

Do You Need Surgery?

Not everyone with reflux needs surgery, and not all hiatus hernias need to be repaired. Many people do well on acid-suppressing medication and lifestyle changes.

Surgery may be a good option if:

Medications don’t control your symptoms well

You’d prefer not to be on lifelong medication

You have a large or symptomatic hiatus hernia

Reflux is affecting your breathing, sleep, or daily function

There is damage to the oesophagus (like inflammation or Barrett’s)

Our Surgical Options

All our operations are performed via keyhole (minimally invasive) surgery. Here are the three main types we offer:

Hiatus Hernia Repair

This is a core part of reflux surgery. We repair the opening in the diaphragm to stop the stomach slipping upwards.

We treat:

Sliding hernias (most common, usually small)

Paraoesophageal hernias (less common but often larger). These may cause chest pain, difficulty swallowing, or even anaemia from internal bleeding.

Fundoplication (Anti-Reflux Surgery)

This operation reinforces the lower oesophageal valve by wrapping part of the stomach around it. The aim is to stop acid and bile from rising into the oesophagus.

Different versions (e.g.Posterior Partial or “Toupet”, and Anterior or “Dor”) are tailored to your anatomy and symptoms.

Reliable long-term relief from reflux

Preserves natural digestion

May reduce ability to burp or vomit in some patients (usually temporary)

What to Expect After Surgery

Most patients go home the day after surgery. You’ll start on soft foods and gradually return to a normal diet usually by 4 weeks post surgery.

 

Swallowing might feel different at first, but this usually settles within a few weeks.

 

we’ll guide you through every step of the way

Less Common but Specialist Operations

As an upper GI specialist, I also perform other operations for selected patients:

(Laparoscopic) Heller’s Myotomy

A treatment for achalasia—a condition where the lower oesophageal muscle doesn’t relax properly, causing swallowing difficulty

 

The tight muscle is carefully divided (myotomy) to allow food to pass into the stomach, often combined with a partial fundoplication to prevent reflux.

Revision Anti-Reflux Surgery

While most reflux operations are successful, a small number of patients may experience recurrence of symptoms, side effects, or anatomical issues over time. Revision anti-reflux surgery is complex and requires careful evaluation of the original operation, current anatomy, and symptom profile.

These procedures may involve:

Re-doing or modifying a previous fundoplication

Repairing a recurrent or missed hiatus hernia

Converting to another procedure (e.g. bypass in selected cases)

I have extensive experience in reoperative upper GI surgery, and work closely with gastroenterologists and radiologists to ensure revision is only offered when clearly indicated—and with the right plan in place.

(Laparoscopic) Roux-en-Y Gastric Bypass +/- Gastrectomy

In selected patients, a Roux-en-Y gastric bypass may be more appropriate.

These are highly specialised operations, performed at Even8 Surgical by a dedicated upper GI team.

We Work as a Team

Every case is reviewed with input from our Multidisciplinary Team (MDT), including gastroenterologists, radiologists, and dietitians, to ensure your treatment is safe, effective, and tailored to you.

Time to Take Back Control

If reflux, regurgitation or a hernia is stopping you from living life fully, let’s talk. Whether you need reassurance, a medication review, or an operation—we’re here to help.