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Cost of Nissen Fundoplication Worldwide

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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 NMC As Salama Hospital: Costs, Top Doctors, and Reviews

Al Khobar, Saudi Arabia

Apart from in-detail treatment procedures available, NMC As Salama Hospital located in Al Khobar, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Technology Advancement- Hospital has an ultrasound unit, a mammogram, a CT scan unit, and an X-ray imaging unit
  • Laboratory
  • 60 Private bedrooms
  • Operating rooms
  • Labor and Delivery Units
  • Isolation rooms
  • 2 Dental clinics
  • Special Care Units
  • 24*7 Emergency Services
  • Intensive Care Unit
  • Pharmacy
  • Cafeteria
Nissen Fundoplication in Hannibal International Clinic: Costs, Top Doctors, and Reviews

Tunis, Tunisia

Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • It has a capacity of 180 beds spread all over the 11 floors
  • Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
  • Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
  • It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
  • As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
  • Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall
Nissen Fundoplication in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations
Nissen Fundoplication in Quironsalud Marbella Hospital: Costs, Top Doctors, and Reviews

Marbella, Spain

  • ISO 9001

Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Nissen Fundoplication in Manipal Hospital, Dwarka: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.

Nissen Fundoplication in Guven Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients
Nissen Fundoplication in Piyavate Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI
  • ISO 9001

Piyavate Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Medicine Centre: Piyavate Hospital provides advanced holistic treatment for their patients. They offer a complete range of services and physicians that specialize in various fields like the endocrine system, the nervous system, kidney function, cardiovascular care, respiratory and digestive system. They pride themselves for the familial care that they provide to their patients.

  • Fertility and In-Vitro Fertilization Centre: Helping the couples who walk into the Piyavate Hospital to achieve their dream of having a family. They have a medical team that specializes in male and female fertility. They offer consultation services, fertility check-up for both men and women and complete IVF services. They have advanced IVF cycle treatment facilities that offer a high rate of success.

  • Bone and Joint Institute: Piyavate Hospital houses one of the frontrunners in Orthopaedic health care in all of SouthEast Asia. They offer a wide range of services and surgeries in their bone and joint institute that include hand surgery, hip and knee replacement surgery, spinal cord surgery, upper extremity surgery, arthroscopic surgery and sports medicine.

  • Eye and Lasik Centre: Piyavate Hospital is fully equipped with the latest and most advanced technology for eye care and houses highly skilled ophthalmologists, sub-specialists and qualified nurses.

  • Physical Therapy and Rehabilitation Centre: One of the first hospitals to be equipped with the Hybrid Assistive Limb technology that will help a neurologically challenged patient to control the rehabilitation robot limb with a signal from their brain. The Physical Therapy and Rehabilitation Centre at Piyavate Hospital uses this system encourage patients to regain muscle memory to walk and function normally.

Amenities for Patient’s Family:

Piyavate Hospital also offers additional apartment facilities to house the kin of the patients who come to visit them from distant places. A restaurant, a flower shop and a café are a few of the other amenities provided by the hospital.

These are the most popular services offered by the Piyavate Hospital in Bangkok, Thailand. They also provide a plethora of other medical services that are listed below:

  • Diabetic Foot Centre

  • Check-up centre

  • Urology Centre 

  • Heart Institute

  • Paediatric Centre 

  • Obstetrics and Gynaecology Centre

  • Surgery Centre

  • Ear Nose Throat Centre

  • Haemodialysis Centre 

  • Dental Centre

  • X-Ray Centre

  • Gastroenterology Centre

  • Cancer Centre

  • Neonatal Intensive Care Unit (NICU)

  • Emergency Services and Centre

  • Tele-medicine

Nissen Fundoplication in Dr. Rela Institute and Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.

Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).

Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.

Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.

Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.

Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.

Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:

  • Orthopaedics
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Hepatology
  • Cardiology
  • Internal Medicine and Diabetology
  • Advanced Paediatrics
  • Ear Nose and Throat 
  • Emergency Medicine
  • Interventional Radiology and Imaging Services
  • Neonatology
  • Neurology
  • Liver Disease and Transplantation
  • Gastroenterology
  • Medical Oncology
  • Nephrology
  • Neonatology
  • Pathology
  • Ophthalmology
  • Plastic and Reconstructive Surgery
  • Radiation Oncology
  • Pulmonary Medicine
  • Urology
  • Surgical Oncology
  • Transfusion Medicine

Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients. 

Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.

Nissen Fundoplication in Srikara Hospital, RTC Cross Roads: Costs, Top Doctors, and Reviews

Hyderabad, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Srikara Group of Hospitals is an 850-Bedded Tertiary Care healthcare facility, spread over 7 branches and two states in Southern India. 6 out of these 7 branches are situated in the twin city of Hyderabad- Secunderabad and 1 branch is at Vijayawada, Andhra Pradesh. As the ultimate combination of benefits a hospital can provide, Srikara Ortho & Multi-Specialty Hospitals represents the infusion of quality, knowledge, technical proficiency, international standards, compassion, and reasonably priced care. Srikara Hospital is known for its excellence in Orthopedic as well as Neuro-Spine Surgeries. With top-of-the-chart technical proficiency, quality, and skills; Srikara is the destination of choice for patients from not only India but across the globe. Srikara Hospitals are the pioneers in doing Robotics-assisted Joint Replacements in Southern India. These hospitals have been using technologies like Computer Navigation and I-Suite theaters since their inception. Three of its 7 branches offer minimally Invasive Spine surgeries done with the use of top quality Operating microscopes. For patients from other countries seeking treatment at its facilities, Srikara has established a separate unit. By partnering with hospitals and institutions that share its commitment to and passion for ‘Patient Care’, it now hopes to expand its surgical expertise throughout the country and the world.

International quality care at affordable prices is what the Srikara Group of Hospitals strives for. The quality & compassion in care can be bought in only by the human skills behind world-class technology. Rich in human skills & experience, the team of doctors at Srikara Hospitals is decorated with a collective experience of more than 23000 Knee Replacement Surgeries over a period of two decades. 5000+ of these Knee Replacements were Robotic-assisted Knee Replacement surgeries. The team of surgeons and the Sports Medicine Unit at SRIKARA Group of Hospitals hold experience in doing more than 5500 Knee Ligament surgeries. The team of Neuro-spine surgeons holds a collective experience of 11+ years and offers various surgical remedies with and without the assistance of an Operating Microscope. Srikara Group of Hospitals offers a wide array of specialties like Orthopaedics, Neuro-spine, Urology, Laparoscopy, Cardiology, Cosmetic Surgery, etc. with the help of nationally and internationally acclaimed doctors.

To expand their healthcare services globally and for the ease of their patients, the doctors at Srikara Group of Hospitals are also providing Online Consultations to individuals who are unable to visit in person but are in need of medical attention. Srikara Group of Hospitals looks forward to continuing to cater to its domestic as well as overseas patients with compassion and evidence-based healthcare services. All the hospitals of Srikara Group are built in accordance to provide relaxing, serene surroundings, greenery, and a hygienic setting to the patients & visitors. With a large influx of people seeking the best care and facilities in Hyderabad, it is well renowned for its dedication to providing unique and evidence-based healthcare services.

Nissen Fundoplication in Apollo Hospitals Bannerghatta: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI

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

  • Bed Capacity is 250
  • Largest and most sophisticated sleep laboratory in the world
  • Technological powerhouse with latest equipments
  • 120 slice CT angiogram
  • 3 Tesla MRI
  • Low energy & High energy Linear Accelerators
  • Navigation System in surgical procedures
  • 4-D Ultrasound for 4 dimensional sonography
  • Digital Fluoroscopy
  • Gamma Camera
  • Stereotactic Robotic Radio- surgery
  • Autologous Bone Marrow Transplantation
  • Robotic assisted surgeries
  • Thallium Laser-First in India
  • Holmium Laser-First in South India
  • Digital X-Ray-First in Karnataka
  • 100 plus consultants
  • Uses Y shaped stent for tracheoesophageal fistula
  • Four autologous chondrocyte implantations procedure is performed and several more like Spinal angiolipoma excision, Tibial tuberosity shift with MPSL reconstruction
  • Biggest series of airway stents in India
  • The Minimal Access Surgery Centre (MASC) centre of excellence

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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