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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 Burjeel Specialty Hospital, Sharjah: Costs, Top Doctors, and Reviews

Sharjah, United Arab Emirates

  • Joint Commission International, or JCI

Burjeel Specialty Hospital is built on an area of 16,000 square meters. It is a 75-bedded hospital with 24-hours emergency services. It has a 24-hours Laboratory & a unique radiology department. Hospital tries to cover every need of patients and to help them in their need hour with all its available medical services. 

The hospital constitutes many centers such as women’s health center, premium care surgery center, heart care center, Bariatric & weight loss clinic, and many others, in order to conduct proper medical care for the patients.

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

Darlington, United Kingdom

A 38-bedded hospital, Woodlands Hospital is supported by about 150 experienced doctors. It provides the highest standards of modern medical care and is BUPA accredited for its breast care services. All the staff at the hospital are totally committed to ensuring that patients are confident and comfortable with all aspects of their visit. It has resident medical officers available 24/7.  Woodlands Hospital has an MRI scanner, an endoscopy unit, and a fully equipped gymnasium in addition to the two laminar flow theaters. It treats NHS-funded patients besides self-funding and insured patients. The hospital has access to the latest equipment and offers private facilities to patients in Richmond, Darlington, and Barnard Castle.

Nissen Fundoplication in Srikara Hospitals, Miyapur: Costs, Top Doctors, and Reviews

Hyderabad, India

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


Nissen Fundoplication in Apollo Hospital International Limited: Costs, Top Doctors, and Reviews

Ahmedabad, India

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

Apollo Hospital International Limited located in Ahmedabad, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Hospital with 234 bed capacity
  • Credit for doing the autologous stem cell transplant when a patient has acute myeloid Leukemia
  • Regular transplants of cell and bone marrow
  • A 1.5 Tesla MRI scan is available, only healthcare organisation in Gujarat with this option
  • Success percentage of 90 when critical oncology procedures are done
  • Diagnostics such as Blood Tests, X-Ray, Echo and Cardiac related tests
  • International Patient Care related facilities: Accommodation, Airport Transfer, Meals per choice, Interpreter, SIM, TV inside room
  • Excellent line up of doctors, surgeons and healthcare professionals such as nurses, technicians
Nissen Fundoplication in Manipal Hospital, Gurugram: Costs, Top Doctors, and Reviews

Gurgaon, India

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

Manipal Hospital, Gurgaon, which used to be Columbia Asia Hospital, is a 100-bed, multispecialty facility that was established in 2008. It is recognized by NABH, and offers complete care in six specialties: neurology, cardiology, oncology, gynecology, orthopedics, and psychiatry. By bringing together modern infrastructure, sophisticated technology, and a team of qualified medical and nursing staff as a part of its value system, the hospital emphasizes ethics and high-quality, affordable healthcare. The hospital maintains an integrated and collaborative framework, and is able to provide 24/7 emergency services and critical care, to achieve the best possible outcomes, with patient satisfaction and treatment as a whole being a fundamental feature of the service.

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

Mohali, India

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

Fortis Hospital, Mohali, is a leading 400+ bed tertiary care hospital across 8.22 acres, accredited by JCI, NABH, and NABL, offering 42 specialties. The hospital excels in Cardiac Sciences, Oncology, Neurosciences, Orthopaedics, Robotic Surgery, and Transplants. Fortis Cancer Institute provides advanced cancer care with robotic surgery, LINAC, PET-CT, and a multidisciplinary Tumor Board. The Cardiac Centre features 3 high-end cath labs, heart transplants, and expert cardiologists. Neurosciences and Orthopaedics Centres offer advanced brain, spine, joint, and trauma care. Fortis Paalna ensures world-class maternity and neonatal services, including high-risk pregnancy management and stem cell collection, making it a top healthcare destination in North India.

Nissen Fundoplication in Fortis Flt. Lt. Rajan Dhall Hospital: Costs, Top Doctors, and Reviews

Delhi, India

4.8 ( 2 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Fortis Hospital, Vasant Kunj, New Delhi, established in 2006, is a leading multi-super specialty hospital with over 18 years of excellence. It has treated more than 2 million patients across 40 specialties and performed 8,500+ complex GI surgeries, 9,300+ joint replacements, 3,600+ neurosurgeries, 1,400+ kidney transplants, and 10,000+ high-risk deliveries. The hospital offers advanced robotic surgeries and specialized clinics, including Asthma & Allergy, Kidney Stone, Obesity, Sports Injury, and Sahajini (Menopause Clinic). Accredited by NABH and NABL, it has earned awards from AHPI, CII, and Newsweek’s “World’s Best Hospitals” (2022–2025), reflecting excellence in technology, expertise, and compassionate patient care.

Nissen Fundoplication in Asian Institute of Medical Sciences: Costs, Top Doctors, and Reviews

Faridabad, India

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

Asian Institute of Medical Sciences located in Faridabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • 425 bed capacity
  • Preventive and diagnostic sevices of the hospital are its strength.
  • It is also well recognised for the therapeutic and rehabilitative services.
  • For patients who need end process care for advanced healthcare conditions, the palliative services that the hospital provides are a boon.
  • The healthcare delivery of AIMS, Delhi/NCR is focused on patient care.
  • Research focused organisation
  • International Patient care center is present to liason with medical travellers
  • Focus on Academics, various healthcare educational programmes
Nissen Fundoplication in Fortis Hospital, Mulund: Costs, Top Doctors, and Reviews

Mumbai, India

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

Fortis Hospital Mulund, located in Mulund West, Mumbai, is a premier healthcare facility providing excellence in multi-speciality healthcare for over 20 years. The global leader in advancing medical technology and clinical expertise, the hospital offers specialities including Cardiology, Neurosciences, Oncology, Transplants, and Orthopaedics. The hospital is well-known for being the largest transplant center in Maharashtra and offers advanced treatment options, including Transcatheter Aortic Valve Implantation (TAVI) and stereotactic precision radiotherapy for cancer. Fortis Mulund is equipped with a 24/7 Emergency Department and International Patient Unit to provide world-class patient-centric care.

Nissen Fundoplication in Medicana Avcilar: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Closed area of 6.331 m2
  • Capacity of 63 beds
  • 19 beds in general intensive care unit
  • 12 beds in Neonatal Intensive Care Unit (NICU)
  • 1 bed capacity in Intensive Care Unit
  • Pharmacies on duty
  • Parking lot of 100 vehicles
  • The Hospital has 31 standard rooms and 3 suite rooms
  • All rooms are equipped with basic needs of patients and their relatives in a spacious room; minibar, television, internet, emergency ropes in restroom, nurse call button, etc. are included in our service

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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