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Yes there are other options. You can ask your Gastro doctor whether or not he thinks you are a good candidate for the Nissen FundoplicationHiatal hernia repair Surgery. I had a sliding hernia as well as very bad acid refluxGastroesophageal reflux disease Gastroesophageal reflux in infants Hiatal hernia repair Reflux nephropathy Vesicoureteral reflux in 1995. I had this surgery performed. It was very expensive (Approx $25K). For 6 years I had no heartburn or any symptoms of a sliding hernia. However, I've had several issues come up in the past 6 months. I have terrible heartburn now. I was recently told that the Nissen Fundoplication surgery is not a "cure all". That they can occasionally come lose and doctors have told me that they feel mine has come loose. They highly recommend that I do not have surgey again for this and that I take Nexium for the rest of my life. So for what it's worth, I'd try Nexium before I consented to have the surgery. It comes with a long recovery period. I think I was out of work for 6 weeks and then not back to feeling like my self for a couple months after that. And now I'm back to having heartburn again, so was it really worth it??? In my opinion, probably not!!! Best of luck!