Abstract
Anti-reflux surgery in form of fundoplication is the gold standard for definitive treatment of gastro-esophageal reflux disease (GERD). Fundoplication is created by wrapping the gastric fundus around the distal 2–3 cm of esophagus, which lies tension free below the hiatus. With advent of minimally invasive techniques, there was greater patient and referring physician acceptability leading to an explosive increase in laparoscopic fundoplications being performed. Fundoplication is a procedure performed to improve quality of life and requires in-depth patient assessment and precise technical expertise to achieve optimal results. Excellent long-term satisfaction has been reported by several centers of expertise with greater than 95% patients reporting excellent satisfaction up to 10–20 years [1, 2].