Hiatal Hernia

Hiatal hernia is a condition in which part of the stomach pushes through the diaphragm into the chest cavity. It is a common underlying cause of GERD (acid reflux), and in many cases, surgical repair is necessary to restore normal anatomy and prevent ongoing reflux.

At Capital Surgeons Group, we specialize in treating GERD and hiatal hernia using advanced, minimally invasive techniques, including robotic-assisted surgery and the LINX procedure.

GERD / Acid Reflux Treatment

Acid Reflux Surgery / Hiatal Hernia Repair / LINX

When stomach acid flows back into the esophagus, it causes acid reflux. Chronic or severe reflux is known as GERD (gastroesophageal reflux disease).

While medications may help manage symptoms, they do not correct the underlying cause. Surgical treatment is a minimally invasive and effective solution designed to stop reflux and restore normal function.

Hiatal hernia is often caused by weakened tissue at the diaphragm. Surgical repair restores proper anatomy and prevents the stomach from pushing into the chest.

What Is GERD Surgery?

GERD surgery is designed to stop acid reflux by restoring the function of the lower esophageal sphincter (LES) and correcting anatomical issues such as a hiatal hernia.

The goal is to prevent acid from entering the esophagus, eliminate symptoms, and improve long-term quality of life.

Why Choose Surgery for Chronic GERD?

GERD surgery may be recommended when:

  • Symptoms persist despite medication
  • You experience regurgitation or nighttime reflux
  • A hiatal hernia is present
  • You want to avoid long-term medication

Surgery treats the root cause of reflux, not just the symptoms.

Surgical Options to Treat GERD

Hiatal Hernia Repair

Repairs the diaphragm opening and repositions the stomach to prevent reflux caused by anatomical disruption.

LINX Procedure

A small magnetic ring is placed around the lower esophageal sphincter (LES) to strengthen it and prevent acid reflux while allowing normal swallowing.

  • Minimally invasive
  • Fast recovery
  • Preserves natural function

Fundoplication Surgery

The upper portion of the stomach is wrapped around the esophagus to reinforce the valve and prevent reflux.

  • Proven long-term solution
  • Reduces or eliminates medication
GERD / Acid Reflux Treatment

To determine if surgery is appropriate, Capital Surgeons Group performs advanced diagnostic testing to evaluate reflux severity and esophageal function.

Testing may include:

  • pH testing – Measures how much stomach acid is reaching the esophagus
  • Endoscopy (EGD) – Allows direct visualization of the esophagus and stomach to identify hiatal hernias and signs of reflux damage
  • Manometry – Evaluates esophageal muscle function and pressure
  • Barium Swallow – Provides imaging of the esophagus and stomach to assess hernia size and swallowing function

Surgical Treatment Options for GERD

Capital Surgeons Group offers advanced, minimally invasive surgical options to treat GERD and correct the underlying cause of acid reflux. Each approach is selected based on your condition, anatomy, and long-term treatment goals.

The da Vinci robotic system is a state-of-the-art surgical platform that allows for enhanced precision, control, and visualization during surgery.

  • Smaller incisions
  • Less pain
  • Faster recovery
  • Shorter hospital stay

During robotic hiatal hernia repair, small incisions are made in the abdomen. Robotic instruments and a high-definition camera are used to reposition the stomach and repair the diaphragm opening.

This approach allows for highly precise correction of the hernia while minimizing disruption to surrounding tissue.

The LINX procedure is a minimally invasive treatment designed to strengthen the lower esophageal sphincter (LES).

A small ring of magnetic beads is placed around the LES to prevent acid reflux while still allowing food to pass normally.

  • Minimally invasive
  • Typically outpatient
  • Procedure time under 1 hour
  • Quick return to normal activities

The LINX system restores the body’s natural barrier against reflux without altering stomach anatomy.

Fundoplication is a surgical procedure that reinforces the lower esophageal sphincter by wrapping the upper portion of the stomach around the esophagus.

This creates a stronger valve that prevents acid from flowing back into the esophagus.

  • Proven long-term solution
  • Effective for moderate to severe GERD
  • Can reduce or eliminate medication use

At Capital Surgeons Group, fundoplication is typically performed using minimally invasive or robotic-assisted techniques for improved precision and recovery.

For a full overview of available GERD treatment options, including non-surgical and surgical approaches, visit our dedicated treatment page.

Benefits of GERD Surgery

GERD surgery, including robotic-assisted procedures and the LINX system, provides long-term relief by treating the underlying cause of acid reflux rather than just managing symptoms.

Key Benefits

  • Long-term relief
    Effectively reduces or eliminates chronic symptoms such as heartburn, acid reflux, and regurgitation
  • Reduced or eliminated medication use
    Many patients are able to decrease or stop long-term reliance on acid-reducing medications
  • Improved quality of life
    Relief from daily discomfort, better sleep, and fewer dietary restrictions
  • Minimally invasive approach
    Smaller incisions, less pain, and faster recovery with laparoscopic and robotic techniques

What You Need to Know

  • GERD is caused by acid reflux due to a weakened LES or hiatal hernia
  • Surgery treats the root cause, not just symptoms
  • LINX and fundoplication are leading surgical options
  • Minimally invasive techniques allow faster recovery
  • Many patients reduce or eliminate medication

Who This Treatment Is For

  • Patients with chronic acid reflux
  • Individuals with hiatal hernia
  • Patients not responding to medication
  • Those seeking long-term relief

Take the Next Step Toward Relief

If you are struggling with chronic GERD symptoms, a surgical solution may provide lasting relief.

Schedule a consultation with Capital Surgeons Group to determine the best treatment option for your condition.

Frequently Asked Questions About GERD Surgery

The most effective GERD surgery depends on the patient’s condition. Common options include the LINX procedure, fundoplication, and hiatal hernia repair. Each treatment is designed to restore the function of the lower esophageal sphincter and prevent acid reflux.

Both procedures are effective. The LINX system preserves natural anatomy and allows for normal function, while fundoplication is a proven long-term solution for more severe GERD. The best option depends on your symptoms and anatomy.

You may be a candidate for surgery if symptoms persist despite medication, you experience regurgitation or nighttime reflux, or if a hiatal hernia is present. Diagnostic testing is used to determine the best treatment approach.

Most GERD procedures are minimally invasive, allowing patients to return home the same day or shortly after. Recovery time is typically a few days to a couple of weeks, depending on the procedure.

Many patients are able to reduce or eliminate their use of acid-reducing medications after surgery, depending on the procedure and individual outcome.

GERD surgery is considered safe and effective when performed by experienced surgeons using minimally invasive techniques. As with any procedure, risks are discussed during your consultation.

While recurrence is possible, proper surgical repair and following post-operative guidelines significantly reduce the risk.

Common tests include pH monitoring, endoscopy (EGD), manometry, and barium swallow imaging to evaluate reflux severity and esophageal function.

Robotic Hernia Surgery: What You Need to Know