<<Disclaimer: Verify this information before applying it to your situation.>> I found this very helpful! The Dr. also sent me some FAQ's about GERD. They were too long to post to the list, but if you email me, I will forward them. Carolyn I am a Family Physician with CD. This is not a medical opinion, just a friendly response; please confirm all information with your personal physician. IMHO--laparoscopic Nissan can be a wonderful procedure in the hands of the right surgeon. Technical expertise of the surgeon is single most predictive indicator. He/she should have done several hundred procedures before I'd consider it. If you have a large hiatal hernia this can make it more problematic but can still be done. Sometimes they have to go in to your chest to get the defect in the diaphragm closed. Check around a lot & get several opinions. I was evaluated for GERD surgery several years ago and GI thought I was a pretty good candidate. We were living in Minneapolis at the time & there are a couple of highly experienced surgeons there. I chose to wait & see & I'm glad I did. Large meals after 6PM are the biggest problem for me. Your lower esophageal sphincter (muscle) will regain some of its tone over time. Alcohol a big problem too. If you're recently diagnosed CD, I theorize that GERD very common due to inflamed upper small bowel (& delayed gastric emptying) & may improve with time.