Anti-reflux surgery in Oxford
Persistent acid reflux can significantly affect quality of life, causing heartburn, regurgitation, sleep disturbance, throat symptoms and can increase the risk of developing oesophageal cancer.
While many patients are treated with long-term medication, surgery can offer a safe and effective long-term solution in appropriately selected cases.
I provide specialist assessment and surgical treatment for reflux and hiatus hernia in Oxford, with a structured, evidence-based approach.
Most patients are seen within 1-2 weeks of enquiry
What is acid reflux?
Gastro-oesophageal reflux disease (GERD) occurs when stomach contents flow back into the oesophagus due to a weak or dysfunctional lower oesophageal sphincter.
This is often associated with a hiatus hernia, where part of the stomach moves into the chest.
Common reflux symptoms
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Persistent heartburn
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Regurgitation (acid or food coming back up)
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Chronic cough, hoarseness, or throat symptoms
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Sleep disturbance due to reflux
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Chest discomfort
Symptoms may continue despite medication.
Is anti-reflux surgery right for you
This is one of the most important questions—and careful selection is essential.
You may be suitable for surgery if:
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You have ongoing symptoms despite medication such as Omeprazole
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You require long-term medication but would prefer an alternative
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You experience significant regurgitation
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A hiatus hernia is present
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Objective testing confirms reflux
Equally important is identifying patients who will benefit most from surgery, and avoiding unnecessary procedures.
I will provide clear, honest advice based on your individual assessment.
Medication vs surgery
Many patients are advised to remain on long-term acid suppression therapy, which is often the right answer.
Medication (e.g. PPIs)
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Reduces acid production
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Controls symptoms in many patients
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Does not correct the underlying mechanical problem
Surgery
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Restores the function of the anti-reflux valve
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Addresses the underlying cause
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Offers potential long-term symptom resolution
For the right patient, surgery can provide a more definitive solution.
Specialist assessment and pre-op work up
A structured work-up is essential before considering surgery.
Investigations may include:
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Upper GI endoscopy – to assess inflammation and anatomy
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24-hour pH monitoring – to confirm abnormal acid exposure
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Oesophageal manometry – to assess oesophageal function
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Additional imaging where appropriate
This ensures surgery is appropriate, safe, and tailored to your physiology.
Surgical treatment options
Treatment is individualised and may include:
Laparoscopic Fundoplication
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Reinforces the valve at the lower end of the oesophagus by wrapping the upper stomach (fundus) around the lower oesophagus
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Restores the barrier to reflux
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Performed using keyhole surgery
Hiatus Hernia Repair
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The stomach is returned to the abdomen
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The diaphragm opening is repaired
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Usually combined with fundoplication
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All procedures are performed using minimally invasive techniques.
Benefits of anti-reflux surgery
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Long-term control of reflux symptoms
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Reduction or elimination of medication
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Improved quality of life
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Durable outcomes in appropriately selected patients
Risks and considerations
All surgery carries risks, and these will be discussed in detail.
Potential long-term considerations include:
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Difficulty swallowing (usually temporary)
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Bloating or inability to belch
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Risk of recurrence over time
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Careful patient selection helps minimise these risks.
When to avoid anti-reflux surgery
Reflux surgery is not suitable for everyone, and careful selection is essential to achieve good outcomes.
In some situations, surgery may not be recommended, including:
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Symptoms not clearly due to reflux - for example, throat symptoms or chest discomfort without objective evidence of reflux
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Normal reflux testing - if investigations such as pH monitoring do not confirm significant acid reflux
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Significant oesophageal motility disorders - where standard surgery may not be appropriate
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Poor response to acid suppression therapy - this may indicate that symptoms are not primarily caused by acid reflux
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Functional or hypersensitivity-related symptoms - where surgery is unlikely to provide benefit
In these situations, alternative approaches or further evaluation may be more appropriate.
A key part of my practice is ensuring that only patients who are likely to benefit from surgery proceed, helping to maximise outcomes and avoid unnecessary procedures.
Recovery after surgery
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Typically 1–2 nights in hospital
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Gradual return to normal diet
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Return to normal activities within 2–4 weeks
You will receive detailed dietary and recovery guidance.
Self-pay anti-reflux surgery in Oxford
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I offer a comprehensive self-pay pathway:
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Rapid access to consultation and investigations
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Structured specialist assessment
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Surgery without long waiting times
Guide price:
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£8,000 – £12,000 for surgery
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If required, pre-operative endoscopy and functional assessment a further £2500-£3500
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A personalised quotation will be provided following assessment
Frequently asked questions
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Will I be able to stop medication?
Many patients are able to reduce or stop medication following successful surgery. -
Is reflux surgery permanent?
Results are typically long-lasting, but durability depends on individual factors. -
How do I know if I am suitable?
Suitability is determined through structured investigations and consultation.
Why choose my practice?
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Experienced consultant general surgeon
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Specialist interest in reflux and hiatus hernia surgery
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Advanced laparoscopic techniques
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Careful patient selection (critical for good outcomes)
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Focus on long-term symptom control
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Clear, honest and evidence-based advice
Book a consultation
If you are struggling with reflux symptoms or considering alternatives to long-term medication, I would be happy to assess you.
Call my secretary on 07947 177843
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I also provide specialist care for general surgical conditions including: