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.