There are other forms of endoscopic treatments, however. Most of them involve forms of 'plumping up' or 'tightening' the lower esophagel sphincter from within the esophagus.
In general, individuals might want to consider the endoscopic forms of treatment before they turn to the fundoplication surgery.
There can be side-effects from most medications and most surgical procedures. This surgery is no different. If anyone is considering the Nissen, they should sit down with their doc and have all the post-surgical side-effects discussed fully.