Q: 1.Whether surgery is a better option for getting relief from GERD symptoms; 2. In India, where is it performed; and 3. Is it a simple or complicated procedure.

A:Surgery is a one time procedure, most people get relief and it is important in young people. Alternative is to take medicines life long with dietary and lifestyle adjustment such as: stop smoking, avoid fatty food, take multiple small meals, avoid alcohol. Surgery is quite safe and most gastrointestinal surgeons can do this laparoscopically.