Ask Your Health Question and Get an Answer ASAP
Surgery for GERD is usually done when medical management has failed. In other words, your health care provider typically will suggest you try the following first (if you have not already done so or if they apply to you)
1st step: weight loss, low fat diet, avoid, carbonated beverages, reduction of caffeine and alcohol, stopping smoking, avoid eating and drinking before going to bed, elevating the head of your bed.
2nd step: medication
If symptoms continue the standard surgical option is a fundoplication. The upper curved area (fundus) is wrapped around the esophagus then sutured in such a way that the lower end of the esophagus is placed through a tunnel in the stomach muscle. This bypasses the herniated or excoriated area. In some cases this may be done via laproscopic surgery. There are risks, and one should consider whether this is prefered over medical management as mentioned above. If your GERD is not even bothering you (you mention it is silent) and you are already taking measures to improve your health, such as exercising, your doctor will most likely recommend continuing medical management. In fact, surgery is usually considered the last choice such as if ulcers and bleeding are not controlled. (there are newer non-surgical procedures being developed, but medical management is still the 1st choice)