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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 Hospital Ruber International: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001

The Hospital has a wide architectural structure that consists of-

  • 90+ consultation rooms
  • 108+ private rooms
  • 15 suites and 3 royal suites
  • 10+ operation theatres
  • Neuro-Rehabilitation unit
  • Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation

Nissen Fundoplication in Paracelsus Clinic: Costs, Top Doctors, and Reviews

Lustmuhle, Switzerland

Apart from in-detail treatment procedures available, Paracelsus Clinic located in Lustmuhle, Switzerland 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:

  • Five large buildings that caters to 8000+ outpatients every year
  • Medical staff of the Hospital includes 5 Doctors, 2 Dentists, 40+ nurses
  • Paracelsus Pharmacy
  • Paracelsus Dentistry
  • Culinarium/Restaurant
Nissen Fundoplication in Meliva Kardiolita Hospital, Vilnius: Costs, Top Doctors, and Reviews

Vilnius, Lithuania

  • Joint Commission International, or JCI

Kardiolita Hospital, Vilnius located in Vilnius, Lithuania is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • An outpatient department, 56-beds for inpatients
  • 13 advanced operation theatres
  • 24-hour intensive care unit
  • Emergency Department
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility
Nissen Fundoplication in Baskent University Istanbul Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

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

  • 13.000 square meters indoor area
  • Aesthetically designed Inpatient rooms
  • Latest healthcare equipments
  • 105 bed capacity
  • 5 operating rooms
  • 38 bed capacity in the Intensive Care Unit
  • 609 healthcare personnel and healthcare professors
  • Translation services for International patients
Nissen Fundoplication in Circle Reading Hospital: Costs, Top Doctors, and Reviews

Reading, United Kingdom

Circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services to its patients, allowing them to choose the services that they wish to avail themselves in a hassle-free manner. 

Keeping the quality in mind that the patient demands, the hospital has associated itself with some of the best consultants from Berkshire. The presence of some of the most experienced specialists from varied backgrounds, allows the hospital to have an environment that ensures the best possible clinical care for the patients. 

The hospital offers treatment across 15+ specialties and some of the most popular treatments are offered for hip, knee, back, foot & ankle, gastroenterology, gynecology, shoulder & elbow, and gastroenterology.

Circle Reading Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay. 

  • Patient-friendly inpatient rooms
  • 15+ Specialties
  • Especially known for orthopedics and spine surgery
  • Innovative technology

Facilities Provided: 

  • Inpatient rooms with TV, music, and films
  • Private bedrooms with en-suite walk-in shower room
  • Complimentary Wi-Fi
  • Free on-site parking
  • On-site cafe
Nissen Fundoplication in Shirley Oaks Hospital: Costs, Top Doctors, and Reviews

London, United Kingdom

Shirley Oaks Hospital is a multispeciality hospital established in 1986 and is part of Circle Health Group. The hospital is located on the outskirts of  Croydon in Shirley Oaks Village. The hospital offers a wide range of diagnostic and treatment services to patients allowing them to choose the services that they wish to avail in a hassle-free manner. 

The hospital is a multispecialty facility that offers all types of treatments from 15+ specialties, including general medicine, ophthalmology, gastroenterology, and dermatology. Shirley Oaks Hospital is associated with 80+ consultants from within the UK. 

The hospital offers services and treatments to patients under the age of 18 years and above.

Shirley Oaks Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay. 

  • Patient-friendly inpatient rooms 
  • 15+ Specialties 
  • Especially known for orthopedics and spine surgery 
  • Innovative technology 

Facilities Provided:

  • Inpatient rooms with TV, music, and films 
  • Private bedrooms with en-suite walk-in shower room
  • Complimentary Wi-Fi
  • Free on-site parking
Nissen Fundoplication in St Edmunds Hospital: Costs, Top Doctors, and Reviews

Bury Saint Edmunds, United Kingdom

St Edmund Hospital has 26 beds with all rooms offering the privacy and comfort of en-suite facilities, views of the gardens, TV, and high-speed Wi-Fi. The hospital has three functional Operation Theatre for minor or major surgeries

The hospital has an imaging department and physiotherapy team based at the hospital to ensure the best care before and after treatment. The Hospital has a dedicated day case recovery area where patients can relax after day case procedure until discharged from the hospital.

Room service is provided to all inpatients by our catering team. All dietary needs can be catered for at the hospital.

The hospital has car parking spaces around the grounds, with a drop-off bay and disabled spaces directly opposite the entrance to the main hospital entrance.

The hospital has all the needed facilities, the latest in technology, and on-site support services; The hospital offers a wide range of procedures from routine investigations to complex surgery.

St Edmunds Hospital has more than 50 consultants who are experts and are s supported by caring and professional staff, dedicated nursing teams, and Resident Medical Officers on duty 24 hours a day, providing care within a friendly and comfortable environment.

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

Gurugram, India

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

Sanar International Hospital is a multispeciality hospital based on Golf Course Road in Gurugram, a part of Delhi NCR. It was founded in 2018 and houses one of the most comprehensive and advanced surgical care specialties. This 150-bedded facility is committed to providing the best patient experiences and healthcare services is the core of the hospital’s mission. Staffed by a group of visionary and competent medical professionals who are well-versed in their fields and eminent for their empathy and understanding, Sanar International Hospital provides optimal care to its patients, making it a popular

Specialties in the Hospital such as Heart, Bone, and Joint neurosciences, Cancer, Kidney and Liver Transplant, and other successful procedures along with experienced medical professionals have made a mark for themselves among domestic patients and international patients who come to India to have the finest healthcare services. It follows strict international practices and believes that the centricity of the patient is essential for providing high-quality care through world-class infrastructure and state-of-the-art facilities. The technologies offered by the Hospital include Digital X-rays, MRI, CT, Ultrasound, transfusion medicine, pharmacy, laboratory services, 24 hrs emergency and ambulance services.

It offers more than 20 plus specialties such as General Medicine, Anesthesiology, Cardiac Sciences, Ophthalmology, Gastroenterology, Hematology, Orthopedics, General Surgery & Surgical, Cardiothoracic Surgery, Hepato Biliary Surgery, Pediatrics, Liver Transplantation, and Critical Care Medicine. The Hospital has a highly skilled medical staff of neuro-anesthetists, neurologists, specialized neurocritical care experts, neurosurgeons neuropsychologists, and neuropsychiatrists. There are specific centers for the treatment of epilepsy, stroke, brain tumors, movement disorders, spinal problems, and headaches.

Nissen Fundoplication in Wockhardt Hospital, Umrao: Costs, Top Doctors, and Reviews

Mumbai, India

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

Wockhardt Hospital, Umrao located in Thane, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • A 14 story building houses this hospital and it has a 350 beds capacity.
  • The hospital has a day care unit, dialysis unit, and digital documentation facility.
  • Treatment packages are available at the hospital as are Diagnostic and therapeutic services.
  • High end diagnostic services, 9 operation theatres and ICU facilities (24/7) are present.
  • Nephrology, Urology, Oncology, Orthopaedics, Cardiology, and Neurology departments in the hospital are worth a mention.
  • Minimal access surgery as well as Emergency & Trauma Surgery services are present in Wockhardt Umrao.
  • Comprehensive health check up option is available at Wockhardt Umrao.
  • It has all kinds of International patient care services including assistance for travel, transfer, accommodation and interpreters.
Nissen Fundoplication in Apollo Hospital: Costs, Top Doctors, and Reviews

Chennai, India

  • Joint Commission International, or JCI

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

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery

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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