The most commonly performed surgery for GERD
is Nissen fundoplication. The German surgeon Rudolf
Nissen performed the first fundoplication in 1937 for a
nonreflux indication,30 and his procedure remains conceptually
the most effective surgical therapy for GERD.
This surgery involves “wrapping” the fundus of the
stomach around the intra-abdominal esophagus. Many
modifications of Nissen’s original procedure have been
described in terms of the surgical approach and configuration
of the wrap.