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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 Memorial Antalya Hospital: Costs, Top Doctors, and Reviews

Antalya, Turkey

  • Joint Commission International, or JCI

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

  • 114 patients and 28 intensive care beds
  • 5 Operating theatres
  • Radiology Department with advanced technology
  • Intensive care units
  • Interventional Radiology Unit
  • Chemotherapy and Art Center
  • The Hospital uses advanced technologies like Hydra Facial, Cardiac MR, Heart Tomography-Coronary CT Angiography and many more
  • Patient rooms and living spaces with all the 5-star hotel features
Nissen Fundoplication in Medicana International Samsun Hospital: Costs, Top Doctors, and Reviews

Samsun, Turkey

  • Joint Commission International, or JCI

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

  • International Samsun Hospital provides services in a closed area of 30.000 m2
  • 9 elevators with pressure control have been designed for you in the hospital with 3 blocks, two of which are 11 floors and the other 10 floors
  • Capacity of 249 beds
  • 7 Operating Theatres
  • 109 Intensive Care beds (19 Newborn, 7 Paediatric, 20 Coronary, 8 CVS, and 54 General)
  • Laboratories - Biochemistry, Pathology, Hormone, Microbiology, Sleep Lab
  • IVF Center
  • Oncology Center
  • The Hospital serves patients with a team of about 99 specialists and academicians in 40 branches and 631 employees
  • Medicana International Samsun uses advanced technology & modern equipment such as BT/MR 1.5 Tesla, 3d Conformal, Thermal Welding, Holmium Laser, 4D Ultrasonography, Color Doppler Ultrasonography, Mammography, and Radiotherapy; in order to perform safe, authentic and quick treatment
  • All kinds of rooms are available for the patients- Single, Suite and VIP Rooms. Patient rooms are equipped with the latest technology and comfort
  • Amenities provided in the room for patients and their relatives- TV and Minibar in each room, 24-hour interrupted Cafeteria service, central air-conditioning ventilation system in each room, Internet access, phones in rooms, and much more
  • Cafeteria/Restaurant
  • Pharmacies on Duty
  • Parking lot with a capacity for 50 vehicles
Nissen Fundoplication in NMC Royal Hospital, Khalifa City: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • Joint Commission International, or JCI

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

  • Capacity for 500 beds
  • 53 Critical Care beds
  • 24-hour Emergency Services
  • 24-hour Ambulance Service
  • OPD (Outpatient department treatment)
  • An Automated Laboratory
  • The Hospital has the first hybrid Operating Theatre with flex move system
  • First NICU and PICU Combination set up
Nissen Fundoplication in Medicana International Ankara Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

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

  • Area of 20.000 m2
  • Capacity for 207 bed capacity
  • 8 Operating rooms
  • 26 Observation beds
  • 17 internal and surgical intensive care units
  • 9 cardiovascular intensive care units
  • 10 incubators
  • 5 Coronary Intensive Care Unit
  • Neonatal intensive care unit (NICU)
  • IVF Center
  • Advanced Oncology Unit
  • Bone Marrow Center
  • Organ Transplant Center
  • Cardiology center
  • Obesity Center
  • Clinical Services
  • In-house Pharmacies
  • Parking capacity of 50 vehicles and free valet service
  • Patients rooms are fully equipped and categorized as Suite room, VIP room and standard room
Nissen Fundoplication in Rabin Medical Center: Costs, Top Doctors, and Reviews

Petah Tikva, Israel

  • Joint Commission International, or JCI

Rabin Medical Center located in Petah Tikva, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • There are as many as 6 intensive care departments at the center.
  • The hospital has been able to treat and manage complex heart conditions by exceptional cardiologists.
  • The Emergency care services of the hospital have also helped a large number of patients.
  • The Cardiothoracic Center is also worth mentioning for the care it has provided to patients.
  • The hospital is also recognised for its organ transplantation facilities with 70% of organ transplants in Israel done in Beilinson Hospital.
  • Bone Marrow transplants performed at the Davidoff Cancer Research and Treatment Center have been a boon for many patients.
Nissen Fundoplication in University Hospital: Costs, Top Doctors, and Reviews

Basel, Switzerland

University Hospital located in Basel, Switzerland is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of the hospital is 670.
  • There are as many as 50 clinics.
  • A 24/7 emergency unit is also present for all kinds of medical emergencies.
  • The hospital has been home to various innovative applications in medicine in addition to the regular advancements in every specialty.
  • There are centers which are committed to providing care in certain specialties such as for heart, strokes, stem cells, tumors, spine centers and lungs.
  • There is an international patient care center which brings respite to medical travellers coming to University Hospital Basel and provides all kinds of assistance to them from travel, transfer arrangements, stay bookings, accommodation, appointments and translators.
Nissen Fundoplication in LLH Hospital, Abu Dhabi: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

3.0 ( 2 Reviews )
  • Joint Commission International, or JCI

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

  • 24*7 Pharmacy
  • 24*7 Emergency DepartmentAmbulance Services
  • Mobile Clinics
  • Telemedicine
  • Valet Parking
  • Facility Management Department, which includes dedicated staff responsible for the maintenance of LLH Hospital
Nissen Fundoplication in Medical Park Antalya Hospital: Costs, Top Doctors, and Reviews

Antalya, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Medical Park Antalya Hospital located in Antalya, 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, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 84 Polyclinics
  • Capacity for 228 beds (39 in Heart Hospital)
  • 73 Intensive Care Units
  • 10 coronary Intensive Care Units
  • 7 CVS
  • 22 General Intensive Care Units
  • 34 neonatal intensive care Units
  • 10 Operating rooms equipped with organ transplant surgery standards
  • Aviation Medical Center
  • Hair Transplantation Clinic
Nissen Fundoplication in Medical Park Trabzon Star Hospital: Costs, Top Doctors, and Reviews

Trabzon, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Medical Park Trabzon Star Hospital located in Trabzon, 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, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Covers a 12,000 sqm of indoor area
  • 107 beds
  • ICU (17 beds)
  • 12 beds in Neonatal ICU (NICU)
  • 6 Operating rooms
Nissen Fundoplication in VM Medical Park Ankara: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, VM Medical Park Ankara located in Ankara, 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, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 22,000 sqm
  • Capacity of 44 beds
  • 6 Operating Rooms
  • 72 Outpatient Clinics
  • Online doctor consultation
  • Medical records transfer
  • Rehabilitation
  • Translation services
  • Interpreter services
  • Airport pickup
  • Hotel booking
  • Free Wi-fi
  • Phone in the room
  • TV in the room
  • Special dietary requests accepted
  • Private rooms for patients available
  • Family accommodation
  • Pharmacy
  • Laundry
  • Mobility accessible rooms

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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