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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 Anadolu Medical Center: Costs, Top Doctors, and Reviews

Kocaeli, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Anadolu Medical Center located in Kocaeli, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • The Medical Center is present over an area of 188.000 square meters. This is inclusive of the indoor area which is 50 thousand square meters.
  • Let us also have a look at some of the important infrastructure pointers of this hospital.
  • Bed capacity of 201
  • Outpatient Clinic at Ata?ehir
  • Bone Marrow Transplantation Center that opened its doors in June 2010
  • Developed and using latest technologies such as IMRT and Cyberknife
  • Multidisciplinary care
  • An OECI-designated clinical cancer centre
Nissen Fundoplication in Czech Medical Center: Costs, Top Doctors, and Reviews

Brno, Czechia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Czech Medical Center located in Brno, Czechia 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:

  • A streamlined and well developed process for International patients at Czech Medical Center, Brno, Czechia.
  • It is the most specialised medical center providing complex care.
  • The center possesses the latest technologically upgraded equipment.
  • Really less waiting times, generally between four to six weeks
  • Best treatment provided to the patients by world class specialists
  • The center was awarded, first place in Europe, with NIAHOSM certificate.
  • The center is in the possession of many more quality certificates.
Nissen Fundoplication in Aster CMI Hospital: Costs, Top Doctors, and Reviews

Bangalore, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

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

  • Around 500 bed capacity
  • Primary care to Quaternary care services
  • Outpatient and inpatient departments
  • Day care center for small children
  • Availability of Surgical suites
  • Intensive Care Units
  • 24-hour Emergency and Trauma Care
  • Emergency Unit especially for children
  • Newly launched the Lung and Heart Transplant Centre
  • Video Consultation with doctors available on GraphMyHealth
  • A specialised Aster Center of Excellence for Women & Children
  • Latest Minimally Invasive Procedures being performed
  • Safe Interventional Procedures
  • Control of Infection protocols are strictly followed
  • Aster Holistic Collaborative Care: Aster Palliative Care for lowering suffering if critically ill patients, Physical Medicine & Rehabilitation, Aster Wellness, Psychology, Chronic Pain Management, Nutrition & Dietetic, Podiatry Care etc.
  • 11 Centers of Excellence
  • An academics focus with BSc Program, MEM Program, Pediatric Fellowship Program
  • A streamlined International patient care center with dedicated services and technology enabled processes
Nissen Fundoplication in Lenmed Ethekwini Hospital and Heart Centre: Costs, Top Doctors, and Reviews

Durban, South Africa

4.9 ( 1 Reviews )

Apart from in-detail treatment procedures available, Lenmed Ethekwini Hospital and Heart Centre located in Durban, South Africa 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:

  • 377 bed capacity
  • 24 hour accident and emergency unit
  • Heart, lung and kidney transplants available
  • Pediatric Cardiac Surgery services
  • Cardiac Centre of Excellence for Adult & Paediatric Cardiac Surgery
  • Two Cardiac Catheterisation Labs
  • Cardiac Theatre
  • 7 Major Operating Theatres
  • 42 Bed ICU
  • Neuro Operating Theatre
  • Stroke Centre of Excellence
  • Renal Centre of Excellence
  • 24/7 Emergency unit
  • Transplant Program
  • Pharmacy and Prayer Facility
Nissen Fundoplication in I.A.U VM Medical Park Florya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

I.A.U VM Medical Park Florya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Situated on an area of 51.000 m2
  • Capacity of 300 beds
  • 13 Operating rooms
  • 92 Polyclinics
  • Emergency Unit
  • Intensive care Unit
  • Parking lots
  • Places of worship
  • Rooms designed according to different needs offer the comfort of a 5-star hotel
  • Special services are provided in all rooms, from television with domestic and foreign channels to internet service, from patient-specific diet menu to newspaper and magazine service
  • Cafe/Restaurant with delicious menu
Nissen Fundoplication in Medical Park Bahcelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

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

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

  • Covers an area of 33.000 m
  • 19-storey Hospital Building
  • Capacity for 242 beds
  • 89 Outpatient clinic rooms
  • 10 Operating rooms
  • 24 Newborn Incubators
  • 6 Paediatric Intensive Care Beds
  • 28 Adult Intensive Care beds
  • 6 CVS and 12 cardiology intensive care beds
  • Luxurious & comfortable rooms like of 5-star hotel rooms for patients
  • Free Wi-fi
  • Parking lot
  • Place of worship
  • Cafe/Restaurant
Nissen Fundoplication in Medical Park Fatih Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Situated in an area of 6500 m2
  • Capacity of 84 beds
  • Emergency Clinic
  • ICU
  • Many special services, including but not limited to T.V. (all domestic and international canals are available), Internet, patient-specific diet and journals and newspapers, are offered to patients to maximize satisfaction
  • Private rooms for patients available
  • Family accommodation
  • Pharmacy
  • Laundry
  • Mobility accessible rooms
  • Parking lot
  • Prayer Room
  • Cafeteria
Nissen Fundoplication in Medical Park Canakkale Hospital: Costs, Top Doctors, and Reviews

Canakkale, Turkey

  • ISO 9001
  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Medical Park Canakkale Hospital located in Canakkale, Turkey 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:

  • 32 patient rooms
  • 2 Operating rooms
  • 75 bed capacity
  • 24*7 Emergency Service
  • Fully equipped Neonatal Care Unit (6 Incubators)
  • In-house Pharmacy
  • Luxurious rooms for patients designed in such a way that they will feel like at 5-star hotel
  • Nurse-call system in rooms
  • Cafeteria/Restaurant
Nissen Fundoplication in NMC Specialty Hospital Al Salam: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

Apart from in-detail treatment procedures available, NMC Specialty Hospital Al Salam located in Riyadh, 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:

  • The hospital is situated at a prime location with easy access from Mecca-Khurais Road and Al-Imam Shafi road
  • 100 Hospital Rooms
  • 25 Intensive Care Units with modern equipment
  • 24-hour Pharmacy
  • 24-hour Emergency Services
  • Laboratory
Nissen Fundoplication in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, 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:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.

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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