One of the keys to a good outcome is that the surgical candidate be well selected. The indications are primarily based on two principles: chronicity and severity of GERD in the context of complications and patient preference.1 As a result, the indications can range from a patient who desires to discontinue antiacid medication1 to patients with recalcitrant complications (e.g., peptic stricture) despite maximal medical and lifestyle modification. Some of the more common scenarios that involve patients with GERD seeking surgical therapy include the following.

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