Persistent reflux, commonly known as "heartburn" despite medical management and moderate or large sized hiatal hernias are indications for repair.  Reflux can present as upper abdominal pain radiating to the back and/or chest.  Some patients also complain of a sour taste and need to sleep on multiple pillows to avoid reflux at night.  Breathing problems are also common due to the reflux exacerbating COPD and also from less room for lung expansion with the stomach within the chest.

Drs. Zurkovsky, Pahuja, Pasquariello and Kremen have years of experience in minimally invasive hiatal hernia repair and anti-reflux surgery.  These surgeries are routinely done laparoscopically negating the need for large abdominal or chest incisions as they were done in the past.