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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 Lenmed Ahmed Kathrada Private Hospital: Costs, Top Doctors, and Reviews

Johannesburg, South Africa

Apart from in-detail treatment procedures available, Lenmed Ahmed Kathrada Private Hospital located in Johannesburg, 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:

  • 254 bed capacity
  • 24 Hour Emergency section
  • Cardiac Catheterisation Laboratory
  • Clinical Trial Centre
  • Sports Medicine Centre
  • Centre of Excellence for Strokes
  • 24 hour trauma and emergency
  • Many medical specialties
  • Option of Minimally invasive laparoscopic surgery in Gynaecology, Urology and General Surgery
  • Patient shuttle facility
  • International patient coordinators
Nissen Fundoplication in Life Kingsbury Hospital: Costs, Top Doctors, and Reviews

Cape Town, South Africa

Apart from in-detail treatment procedures available, Life Kingsbury Hospital located in Cape Town, 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:

  • The hospital has the capacity of 226 beds
  • 11 Operating rooms
  • Intensive Care Unit (ICU)
  • Neonatal Intensive Care Unit (NICU)
  • General ward, Paediatric ward and Maternity ward
  • Accident & Emergency Unit with a Doctor on-duty 24*7
  • Free Advanced Life Support Paramedic Response Vehicle, which cannot be considered as an Ambulance as it is not responsible for patients transfer. It is to stabilize a patient whilst an ambulance is dispatched

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

Dubai, United Arab Emirates

Design structure of any hospital is very important. It shows the level of concern that a Hospital is considering for its patients’ comfort.

As a whole, Iranian Hospital is equipped with 187 premium beds, 35 speciality clinics, 10 ICU Beds, 12 Neonatal ICU beds, 9 CCU beds, 8 Operation Theatres and 24 Paediatric beds.

The Hospital has medical & comfort facilities for both the segments:

  • Inpatients
  • Outpatients

Inpatient Services:

  • 24*7 Emergency Services- consist of 18 general beds, 3 VIP Acute care and 1 Isolation room
  • ICU: 19 beds plus one VIP suite room
  • CCU: 8 beds plus one VIP suite room
  • Internal Medicine ward with 2 VIP Patient suite rooms and 26 beds
  • For health tourists, Global Healthcare Department is present with VIP ward with 10 VIP Suite rooms
  • Surgical wards on gender basis (Men or Women)- 21 beds each + 1 VIP suite room
  • Surgery ward for Day care- 6 beds + 2 private suite rooms
  • 8 Operating rooms fully equipped with modern equipment for laparoscopic surgery
  • Fully equipped Cath-lab with 4 beds recovery unit _ immediate access to operating room for cardiac surgery
  • 38 beds + 1 VIP Suite room for Gynecology and obstetrics
  • 6 labor and 3 delivery beds in labour ward + 1 Emergency room for obstetrics OR
  • 12 beds in Neonatal ICU (NICU)
  • 24 beds + 2 VIP suite rooms in Paediatric ward
  • An Intensive Care Unit with 4 beds and 1 isolation unit for Paediatrics

Outpatients Sevices: Speciality clinics such as General Physician clinics, surgical clinic, Cosmetic & Aesthetic clinic, Ophthalmology clinic, Dentistry, Paediatrics clinic, etc. When it comes to accommodation, people get very conscious while choosing the Hospital. Iranian Hospital is the best at it as Hospital rooms are like luxury apartments equipped with all the amenities required by patients and their families. Services available at the Hospital during stay:

  • Private & shared rooms
  • Nurse call system by the bed
  • Specialized menus for specialized diets are prepared and screened individually by experienced dieticians. Guest trays are available as per request
  • Cleaning & Repairing of rooms to maintain cleanliness & hygiene
  • Each hospital bed has its own telephone extensions

Nissen Fundoplication in Istinye University Bahcesehir - LIV Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, 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:

  • A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
  • Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
  • 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
  • Emergency Department with Emergency specialists
  • 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
  • IVF center
  • Pain Clinic
  • Stroke Center/Unit
  • Pediatric Intensive Care Unit
  • International Guest Department
  • In an emergency transfer of patients via air, the hospital also has an air ambulance facility
Nissen Fundoplication in Medical Park Goztepe Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Capacity of 293 beds
  • 9 Operating theatres
  • 64 intensive care beds
  • Emergency Department
  • Chemotherapy Unit
  • Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
  • Cafeteria/Restaurant
  • Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
Nissen Fundoplication in VM Medical Park Bursa Hospital: Costs, Top Doctors, and Reviews

Bursa, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, VM Medical Park Bursa Hospital located in Bursa, 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 55,000 sqm
  • Capacity of 270 beds
  • 10 Operating rooms
  • 83 intensive care beds
  • Helipad for Emergency Transfers
Nissen Fundoplication in Medical Park Elazig Hospital: Costs, Top Doctors, and Reviews

Elazig, Turkey

  • Joint Commission International, or JCI

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

  • 79 Intensive care beds (19 newborns, 2 angio rooms and 14 bed-post-angio rest room)
  • Capacity of 206 beds
  • 12 suites
  • 13 operating rooms
  • 3 Delivery rooms
  • 66 Polyclinics in 28 branches
  • Fully-equipped conference hall for medical meeting with a capacity of 152 people
  • Nurse-call system in rooms
  • 24*7 Cafeteria/Restaurant
  • Parking-lot with 600 vehicle capacity
  • It aims to provide the best service with state-of-the-art devices such as 1.5 Tesla MR, 128-section CT, virtual angiography unit, and 4-dimensional ultrasonography in imaging units
  • Emergency Radiology Unit
  • Radiation Oncology Unit
  • Chemotherapy Department
Nissen Fundoplication in Eregli Anadolu Hospital: Costs, Top Doctors, and Reviews

Zonguldak, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Eregli Anadolu Hospital located in Zonguldak, 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:

  • Latest cutting edge technology applied in the diagnostic and medical treatment equipment and processes.
  • Complex and critical conditions have been treated by the hospital over time.
  • Inbuilt area is 9000 square meters
  • 130 inpatient bed capacity
  • 30 physicians working in the hospital
  • A number of polyclinics
  • Diagnostic facilities such as with imaging, sleep labs, biochemistry labs
  • Emergency rooms available
  • Intensive care units for critical cases
  • Operation theatres with latest facilities
Nissen Fundoplication in Riyadh Care Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Riyadh Care Hospital 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:

  • This healthcare organisation is equipped with modern and advanced healthcare instruments.
  • Riyadh Care Hospital has a 325 bed capacity.
  • The Department of Emergency and Department of Children Emergency work round the clock to provide the best of emergency care services.
  • Respiratory Therapy and Dialysis Center takes care of the respiratory and renal conditions of the patients.
  • Medical Rehabilitation Center provides the best in class rehabilitation and recovery services to the patients.
  • Laboratory, Blood Bank, Physical Therapy and Radiology departments are also present.
  • Intensive & Medium Care Unit for Children and Newborns and Intensive Care Unit for Cardiac conditions are also worth a mention for the outstanding work they are doing.
  • Pharmacies for inpatients, outpatients and emergencies.
  • The Intensive Care Unit is working to provide care for advanced and critical care.
Nissen Fundoplication in Care national Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Care National Hospital 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. Also listed below are some of the most prominent infrastructural details:

  • International patient care services of Care National Hospital is also at par with global standards. They provide all kinds of assistance to the patients coming from different nationalities to get required treatment.
  • Innovative healthcare practices are employed in the hospital and the healthcare providers routinely go over and above to provide the best treatment that any patient could get.
  • The hospital specialises in providing patients with customised healthcare options.
  • A multispecialty hospital with integrated departments, it has a bed capacity of 459.
  • Homecare services are also routinely provided to the patients of Care National Hospital, Riyadh, Saudi Arabia.
  • Outpatient Clinics include the following:
  • Department of Binoculars
  • Emergency Department
  • Radiology Department
  • Laboratory
  • Blood Bank
  • Department of Physical Therapy
  • Pharmacy

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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