When to Consider GERD in Houston? Understanding Surgical Reflux Treatment Options

By Dr. Rizwan Chaudhry, MD, FACS

Introduction

Struggling with persistent reflux despite medication? As a fellowship-trained bariatric specialist with Mayo Clinic residency and advanced fellowship training from the Cleveland Clinic, I specialize in GERD surgery in Houston at Advanced Houston Surgical. GERD surgery—specifically, Nissen fundoplication—offers an option for those whose reflux disrupts daily life and isn’t controlled by proton pump inhibitors (PPIs). For many, this minimally invasive procedure helps reduce acid exposure and can significantly improve comfort and quality of life.

Research suggests antireflux surgery, including Nissen fundoplication, is generally safe and effective in relieving GERD symptoms and reducing reliance on medication. In fact, recent analysis of surgical outcomes highlights its value for patients unsatisfied with medical management and highlights enduring benefits for seniors considering intervention. You can learn more from this detailed systematic review on antireflux surgery.

If you’re worn out from daily reflux, side effects of long-term PPIs, or uncertainty about surgery’s safety at your age, you’re in the right place.

GERD Surgery Houston: A Trusted Alternative When Medications Fail

For many seniors like Robert in Houston, daily reflux can feel like an endless cycle—especially when medications no longer bring relief. Research indicates that antireflux surgery, such as Nissen fundoplication, can significantly improve symptoms and quality of life for those with persistent GERD who have not responded to medical therapy. In my practice, I often meet patients who are frustrated by the side effects of long-term proton pump inhibitor (PPI) use and are searching for a more lasting solution.

As someone who has helped countless patients in Houston and nearby areas, I understand how exhausting it is to feel tethered to reflux medication or to have your sleep and meal times ruined by heartburn. Many of my patients tell me, “I’ve tried every diet and every pill—why won’t this go away?” For them, surgery isn’t just another treatment; it’s a path back to simple joys like eating out with family or enjoying a peaceful night’s sleep. My goal is to help you regain that comfort and confidence so you can make the most of your retirement years.

For more on the evidence behind these procedures, I recommend reviewing the SAGES systematic review on surgical treatment of GERD.

How GERD Surgery Works: Understanding Nissen Fundoplication

Nissen fundoplication is a minimally invasive procedure designed to reinforce the lower esophageal sphincter, the muscle that keeps stomach acid from flowing back into the esophagus. During surgery, I wrap the upper part of the stomach around the lower esophagus, creating a new barrier to reflux. Studies suggest this approach is generally safe and can lead to significant symptom improvement for most patients.

I know surgery can seem intimidating, especially when you hear about all the different techniques or possible side effects. My advanced training at Mayo and the Cleveland Clinics taught me the importance of technique and precision in fundoplication. In my surgical experience, most Houston-area patients appreciate that this is done with tiny incisions, leading to less pain and a smoother recovery. When reviewing research results, I always explain what those numbers mean in everyday life: for example, fewer short-term complications and better comfort mean you’re less likely to face setbacks after leaving the hospital.

If you’d like a deeper dive into the surgical technique, the International Journal of Surgery’s review of antireflux surgery offers a clear summary.

Is Surgery Right for My Reflux? Who Is a Candidate

Not every patient with heartburn needs surgery. In my Houston practice, I carefully evaluate each person’s symptoms, response to medications, and overall health. Research-based guidelines recommend antireflux surgery for those with severe GERD not controlled by PPIs, or for those who cannot tolerate these medications due to side effects.

One thing I emphasize to my older patients is that their age alone does not rule out surgery. I routinely work with seniors, coordinating with cardiologists or other specialists as needed for safety. Even if you worry about being “too old” or having other health issues, evidence and my own practice show that, with the right preparation and surgeon experience, most patients do very well. For anyone unsure if they’re a candidate, I offer a thorough, no-pressure assessment where you can ask every question before deciding on your next step.

If you’re unsure whether you qualify, I encourage you to review the Aetna clinical guidelines for GERD surgery and reach out for a personalized assessment.

What to Expect: The Surgery and Recovery Process

Understanding what happens before, during, and after surgery can ease a lot of anxiety. At Advanced Houston Surgical, I guide patients through every step—from preoperative testing to post-surgery follow-up. Nissen fundoplication is typically performed under general anesthesia and may take between 45 minutes and three hours, depending on the complexity of the case. Most patients undergoing laparoscopic Nissen fundoplication are able to go home the next day, though some may require a longer hospital stay depending on individual circumstances.

Based on what I’ve seen as a bariatric and foregut surgeon, the majority of my patients in Houston—especially retirees eager to get back to their everyday activities—recover quicker than they anticipated. Patients often report that recovering at home may feel easier than expected. Research and real-world data suggest light activity and normal routines return within a week or two, and tailored support helps avoid common setbacks. My role doesn’t end in the operating room—instead, I make sure you have direct access to me for all your follow-up care, minimizing confusion or delays in your recovery.

For a step-by-step overview, the Registry of Outcomes From Anti-Reflux Surgery tracks real-world recovery timelines and outcomes.

Benefits and Results: Houston-Area Success Stories

The most rewarding part of my work is seeing patients reclaim their quality of life. Research indicates that after antireflux surgery, the majority of patients experience lasting relief from reflux symptoms and a dramatic reduction in medication use. In fact, one study found that 84% of patients used daily PPIs before surgery, but most were able to stop or greatly reduce these medications afterward.

It’s always fulfilling when a patient, especially someone who’s felt stuck with daily pills for years, returns for follow-up and tells me, “This is the first time in a decade I can eat what I want without worrying about heartburn later.” These kinds of results—highlighted in research—truly do translate into the daily lives of my Houston-area patients. Whether it’s finally being able to travel, enjoy social gatherings, or just sleep through the night, the improvements I see in the Bellaire and Houston communities remind me why this work matters.

You can see what people are saying about real success stories from Houston-area patients. To see more about long-term outcomes, I recommend the long-term efficacy study on antireflux surgery.

Risks, Safety, and Long-Term Outcomes

Every surgery carries some risk, and I believe in being transparent about both the benefits and the potential downsides. Studies suggest that Nissen fundoplication is generally safe, with a low rate of serious complications when performed by a skilled surgeon. Many patients may experience temporary swallowing difficulty or bloating after surgery, with symptoms typically resolving within three months, but these issues often improve with time.

What I always tell my Houston patients—especially those at higher risk—is that surgical safety isn’t just about statistics. My fellowship-level training lets me handle even complex or revision cases that some surgeons avoid, and I coordinate closely with your other doctors to ensure you’re fully prepared. Long-term research shows that most people continue to feel better five years after surgery, but I also make it clear that individual results can vary. My job is to support you before, during, and long after your procedure, so you always have the information and encouragement needed to make the best choice for your health.

If you want to explore the data further, the five-year clinical outcomes study provides a detailed look at safety and effectiveness.

Why Choose Dr. Chaudhry for GERD Surgery in Houston

Choosing the right surgeon is just as important as choosing the right procedure. As a board-certified general surgeon with advanced training from the Mayo Clinic and Cleveland Clinic, I bring a level of expertise that few in Houston can match. My approach is always patient-first and judgment-free, with a focus on clear communication and long-term support.

As a surgeon who’s personally led a bariatric program to national recognition, I know how essential it is to provide individualized, attentive care—especially when treating seniors or patients with previous surgeries. I take pride in ensuring you have one-on-one guidance throughout your journey. If you want a partner who combines technical skill with personal commitment, I’m here to help you move forward—at your comfort, on your terms.

For more on my background and approach, you can visit my About page or explore St. Joseph Medical Center as part of our extended care network.

Community Voices Online

As a board-certified, fellowship-trained surgeon serving Houston and surrounding communities, I believe that compassionate, patient-first care is just as important as surgical expertise. My training at the Mayo Clinic and Cleveland Clinic taught me the value of combining advanced techniques in bariatric and foregut surgery—including procedures like Nissen fundoplication, gastric bypass, and hiatal hernia repair—with a judgment-free, supportive approach. It’s always meaningful to see our commitment reflected in the experiences shared by people in our community. One Google review shared online highlights the importance of teamwork and responsive care in our Houston-area practice:

Read the full review on Google

Conclusion

In summary, GERD surgery Houston—specifically Nissen fundoplication—offers a safe, effective path for those whose reflux persists despite medication. Studies suggest this procedure can dramatically reduce symptoms and reliance on daily acid blockers, helping you reclaim comfort and quality of life. As a board-certified general surgeon with Mayo Clinic residency and Cleveland Clinic fellowship training, I am dedicated to providing patient-first, judgment-free care for Houston-area seniors seeking real relief.

If chronic reflux is disrupting your meals, sleep, or peace of mind, you don’t have to face it alone. You can get in touch with our Houston office to take the first step toward lasting comfort and renewed confidence.

This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

Please note: Advanced Houston Surgical does not offer or recruit for clinical trials. References to research are citations of published medical studies only.

Frequently Asked Questions

How effective is Nissen fundoplication for chronic GERD?

Based on current research, Nissen fundoplication is highly effective for reducing chronic reflux symptoms and improving quality of life. Most patients experience significant relief and a decreased need for daily acid-blocking medications after surgery. While individual results can vary, studies suggest this procedure offers lasting benefits for many people with severe GERD.

Where can I get GERD surgery in Houston?

I provide consultations and ongoing care at Advanced Houston Surgical, serving patients from across the Greater Houston area. Surgeries are performed at trusted local hospitals, ensuring you receive expert care close to home. Whether you live in central Houston or nearby neighborhoods, my team is here to support you every step of the way.

Is GERD surgery safe for seniors or those with other health conditions?

Safety is always my top priority. Evidence indicates that, with careful patient selection and coordination with your other physicians, antireflux surgery is generally well-tolerated—even for seniors or those with mild heart conditions. I work closely with your cardiologist or specialists to ensure you’re fully prepared and supported throughout the process.

What kind of results and recovery can I expect after surgery?

Most patients are able to return to light activity within a week or two after surgery. Studies suggest that symptom relief is often noticeable soon after the procedure, and many people can reduce or stop their reflux medications. I provide detailed recovery guidance and direct follow-up to help you get back to enjoying your daily life as quickly and safely as possible.

Are there alternatives to surgery if I’m not ready for an operation?

Absolutely. If you’re not ready for surgery, we can discuss optimizing your medical therapy, lifestyle changes, or other non-surgical options. My goal is to help you find the right solution for your needs—whether that’s medication management, dietary adjustments, or, when appropriate, surgical intervention. There is always hope, and you have options for relief.