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Nissen Fundoplication is used to treat severe Gastro-oesophageal Reflux Disease (GERD) when medications fail to provide adequate relief. It works by wrapping the fundus (upper part of the stomach) around the lower oesophagus to strengthen the anti-reflux barrier between the stomach and oesophagus. Large hiatal hernias, medication-resistant persistent GERD, and reflux-related problems such oesophagitis (inflammation), Barrett's oesophagus (in certain cases), oesophageal strictures (narrowing), and reflux-related chronic cough or recurrent aspiration are frequently advised.

Consult your doctor if you have severe heartburn despite long-term medication use, regurgitation of food or acid, dysphagia (difficulty swallowing), persistent cough or worsening asthma due to reflux, reflux-related chest pain after cardiac causes are ruled out, frequent hoarseness or throat discomfort, and complications such as reflux ulcers or Barrett's oesophagus.

Prior to surgery, patients undergo a clinical assessment and medical history review, followed by investigations such as upper gastrointestinal endoscopy, 24-hour pH monitoring, oesophageal manometry, and barium swallow study in select cases, as well as routine tests such as LFT, RFT, CBC, chest X-ray, and ECG. Before surgery, patients are recommended to abstain from alcohol and tobacco, stop taking blood thinners (if prescribed), and fast for six to eight hours.

Nissen fundoplication is typically carried out laparoscopically under general anaesthesia. The surgeon makes tiny keyhole incisions, repairs any hiatal hernia, and then completely wraps the fundus (upper portion of the stomach) around the lower oesophagus to strengthen the anti-reflux barrier. The incisions are closed while the patient is monitored, and the wrap is secured to prevent reflux.

Usually, the procedure takes one to two hours. The duration of surgery can also differ based on the patient's anatomy, past abdominal procedures, and the existence of comorbidities.

Nissen fundoplication is safe, but there are a few potential risks:
  • Infection and bleeding
  • Initial difficulty swallowing (temporary dysphagia)
  • Gas-bloat syndrome (increased bloating, trouble belching)
  • Vomiting or nausea
  • Failure or loosening of the wrap (rare)
  • Symptoms of reflux returning
  • Damage to the spleen, oesophagus, or stomach (rare)
  • Risks associated with anaesthesia

Fundoplication provides multiple benefits, including long-term relief of GERD symptoms, a reduction in the requirement for long-term acid-suppressive drugs, increased quality of life, prevention of reflux-related oesophageal injury, and better control of aspiration symptoms and persistent cough.

Postoperative recovery usually comprises a one to three-day hospital stay, as well as breathing exercises and early walking to aid with recuperation. Over the course of several weeks, a structured dietary progression is followed, progressing from liquids to a soft diet and finally to a regular diet.

Nissen fundoplication has a high success rate; 85–95% of patients attain symptom control, and in carefully selected situations, the long-term results are outstanding. Overall outcomes are mostly determined by the surgeon's experience and skill as well as a thorough pre-surgical assessment.

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Explore Hospitals ( 173 )
Nissen Fundoplication in Apollo Multispecialty Hospitals: Costs, Top Doctors, and Reviews

Kolkata, India

  • Joint Commission International, or JCI
  • ISO 9001

Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)
Nissen Fundoplication in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Nissen Fundoplication in Fortis Hospital: Costs, Top Doctors, and Reviews

Noida, India

3.0 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Fortis Healthcare Limited is one of India’s prominent providers of integrated healthcare services, offering comprehensive medical care across multiple specialities. The company’s operations span hospitals, diagnostic centres, and day-care speciality facilities, ensuring a wide range of healthcare solutions under one umbrella. Fortis has established a strong presence across the country, managing 33 healthcare facilities, which include joint ventures and operational & management (O&M) setups, across 11 states.

The company’s hospital network comprises more than 5,700 operational beds, including O&M beds, catering to patients with varied healthcare needs. In addition to inpatient services, Fortis operates around 400 diagnostic laboratories, providing reliable and timely diagnostic support for accurate medical care. This extensive network enables Fortis to deliver high-quality healthcare services consistently and efficiently, from routine diagnostics to specialised treatments and complex procedures.

Nissen Fundoplication in Memorial Atasehir Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Memorial Atasehir Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 22,000 sqm in the Anatolian side of Istanbul
  • The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
  • Capacity of 144 beds
  • Intensive Care Unit
  • Emergency Department
Nissen Fundoplication in Medicana Bahcelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

0.5 ( 1 Reviews )
  • Joint Commission International, or JCI

Medicana Bahcelievler Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 89 beds
  • 6 Operating Rooms
  • 2 Delivery Rooms
  • Coronary Intensive Care Unit
  • General Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Dialysis Unit with 30 beds
Nissen Fundoplication in Medicana Konya Hospital: Costs, Top Doctors, and Reviews

Konya, Turkey

  • Joint Commission International, or JCI

Medicana Konya Hospital located in Konya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Providing services in a closed area of 30.000 m2
  • It has a total of 80 physicians (including 32 specialist physicians), 37 academicians, 8 practitioners, 1 psychologist and 2 Dieticians
  • General and Neonatal Intensive Care Units
  • Total bed capacity for 223 beds with 49 in general intensive care, 7 in cardiovascular surgery intensive care, 9 beds in coronary intensive care unit, 41 in NICU and 117 service beds
  • Operating rooms are equipped with the latest medical technologies & state-of-the-art equipment like IT, MRI (1.5 Tesla), Mammography, Ultrasonography, etc.
  • Laboratories and Imaging Units
  • UHA Unit for International Patients
  • Pharmacies on Duty
  • Hospital rooms are categorized as Standard rooms and Suite rooms
  • Rooms are fully equipped with basic needs of a patient and their relatives, like TV, Mini Fridge, Nurse call system, telephone, central air conditioning ventilation system, etc.
  • 24-hour cafeteria
  • Parking lot
  • Mens & Womens Place of worship
Nissen Fundoplication in NMC Royal Hospital, DIP: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

2.9 ( 4 Reviews )
  • Joint Commission International, or JCI

NMC Royal Hospital, DIP located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a total area of 17,695 sq. meters
  • 73 beds in VIP suites, Private rooms and Sharing rooms
  • 40 Consultation rooms
  • 4 Operation Theatres
  • 1 Labour room
  • 2 Delivery rooms
  • ICU with Isolation bed
  • Neonatal Intensive Care Unit with Isolation bed
  • Emergency with Isolation bed
  • 24x7 Ambulance service
  • 24x7 Community Pharmacy
  • 24x7 Emergency Services
  • Parking for visitors and patients
  • Outpatient services
  • Nursery
Nissen Fundoplication in NMC Specialty Hospital - Al Ain: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • Joint Commission International, or JCI

NMC Specialty Hospital - Al Ain located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity for more than 82 beds
  • 7 Intensive Care beds
  • 13 Nursery beds
  • A well-equipped laboratory where tests are carried out by a centralized computerized system
  • The hospital has tied up with Biomnis, France for rare investigations and tests not available locally
  • Radiology Department with cutting-edge technology- a patient friendly open MRI (1.0 tesla), 64-Slice Spiral CT Scanner, 4-D Ultrasound with Color Doppler, Bone Densitometry, Mammogram, and Digital X-Ray systems backed by a fully integrated PACS system
  • 24-hour Emergency Clinic
  • 24-hour Ambulance Services
  • 24-hour New Medical Center Pharmacy
  • 100+ Doctors
  • 350+ paramedical personnel and nursing staff
Nissen Fundoplication in Medicana Bursa Hospital: Costs, Top Doctors, and Reviews

Bursa, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Medicana Bursa Hospital located in Bursa, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an indoor area of 40,000 sqm
  • 22-storey building
  • Capacity of 300 beds (100 intensive care beds and 200 single rooms)
  • Intensive care units with general intensive care units (reanimation)
  • Operating rooms are available for all kinds of surgeries
  • Cardiovascular surgery ICU
  • Neonatal ICU (NICU)
  • Coronary ICU
  • Emergency room
  • Bursa Hospital provides a 5-star hotel comfort to its patients and their relatives
  • Cinema and Conference hall with Medical explanations
  • Rest areas
  • Cafeteria
  • Game and Hobby sections for children
  • Dining room (designed for 1000 employees)
  • Terrace Rest Area
Nissen Fundoplication in Shanti Mukand Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Shanti Mukand Hospital located in New Delhi, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • Most medical and surgical disciplines are covered in the hospital in terms of treatment.
  • The diagnostics of the hospital are up to date with the latest technologies in a specialised dedicated wing called as SMH Imaging Center.
  • Some important specialties available in the hospital are Orthopedics, Oncology (SMH Cancer Center), Neurology, Cardiac Care, Pediatrics etc.
  • Physiotherapy services are available for patients.
  • There is a specific Dialysis unit known as SMH Dialysis Center.
  • There is a bed capacity of 200.
  • Modular Operation theatres as well as provisions for minimally invasive procedures.
  • Critical care and emergency care departments are also present.

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Process Involved for Nissen Fundoplication

  • GERD diagnosis and severity assessment
  • Testing prior to surgery (manometry, pH monitoring, endoscope)
  • Planning for surgery
  • Method (fundoplication ± correction of a hiatal hernia)
  • Recuperation after surgery and diet advancement
  • Monitoring to manage reflux symptoms
  • Severe GERD
  • Reflux with hiatal hernia
  • Esophageal reflux
  • Barrett's oesophagus (in certain instances)
  • Aspiration or coughing due to reflux
  • Laparoscopic Nissen Fundoplication (the most common).
  • Nissen Fundoplication is open.
  • Fundoplication with robotic assistance
  • In certain situations, partial fundoplication (Toupet/Dor)

Patients may be eligible if:

  • Despite taking medication, GERD symptoms continue.
  • The patient has Barrett's changes, strictures, and oesophagitis as reflux consequences.
  • There is a large hiatal hernia.
  • The patient would rather have surgery than take medication for life.
  • The patient is ready for surgery and anaesthesia.
  • Hiatal hernia repair
  • Endoscopy (follow-up and diagnostic)
  • Dilatation of the oesophagus (if stricture is present)
  • Long-term or permanent management of reflux
  • Oesophagitis healing
  • Decreased long-term GERD complications
  • Reduced reliance on acid suppressants

After a successful fundoplication

  • Regurgitation and heartburn considerably lessen
  • Reflux lessens at night.
  • After the initial recuperation, swallowing gradually gets better.
  • Better quality of life and sleep
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
  • Receive a Detailed Treatment Plan:After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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Frequently Asked Questions

The majority of patients recover in two to six weeks, however they can typically resume their regular activities in one to two weeks.

In addition to the procedure cost, patients may incur:
  • Pre-treatment tests
  • Medications during recovery
  • Follow-up consultations
  • Depending on the course of recovery and any problems, a hospital stay usually lasts one to three days. Most patients are discharged once they can accept drinks, their pain is managed, and their vital signs stay stable.

    Long-term care consists of:
  • Initially, eating small, frequent meals
  • Steer clear of carbonated beverages and overindulge in food
  • Keeping an eye on reflux symptoms
  • Regular monitoring if symptoms reappear
  • Long-term results are improved and reflux recurrence is prevented by maintaining a healthy body weight.
  • For a few weeks, patients should refrain from heavy lifting and adhere to the surgeon's recommendations about physical exercise.
  • Evaluation may be necessary to rule out wrap loosening or complications if reflux symptoms or prolonged trouble swallowing recur.
  • Patients choose All for treatment because of the availability of highly qualified surgeons, cutting-edge laparoscopic procedures, reasonably priced packages, shorter wait times, and state-of-the-art hospitals with robust international patient services, as well as sophisticated diagnostic facilities (endoscopy, manometry, pH monitoring), comprehensive post-operative care (nutrition counselling, follow-up support, and modern ICU and anaesthesia services for improved safety and outcomes).

    Upper gastrointestinal endoscopy, 24-hour pH monitoring, oesophageal manometry, barium swallow study (if necessary), and regular pre-operative examinations like ECG, chest X-ray, and blood testing are all common tests.

    Yes. It is a common minimally invasive procedure that is safe in recognised hospitals with trained surgical teams. Complication rates are kept low with careful pre-operative examination and patient selection.

    In carefully chosen patients, the success rate for long-term symptom control is 85–95%.

    Author

    Fauzia Zeb Fatima
    Fauzia Zeb Fatima

    M.Pharm

    4 Years of Experience

    Fauzia Zeb is a distinguished medical and scientific content writer with a robust academic foundation in pharmaceutical sciences, holding a B.Pharm and M.Pharm degree from prestigious institutions, including MIT and Jamia Hamdard University. Her comprehensive expertise in pharmacology, clinical sciences, and biomedical research enables her to translate complex medical and scientific concepts into precise, evidence-based content tailored for diverse audiences. Specializing in peer-reviewed articles, clinical blog posts, and research-driven publications, she demonstrates a consistent ability to bridge the gap between advanced medical science and accessible, audience-specific communication.. View More

    Reviewer

    Dr. Ashish George
    Dr. Ashish George

    Gastroenterologist

    18 Years of Experience

    Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh. View More

    Last Reviewed - January 2026