Gastroesophageal Reflux Disease (GERD)
When chronic acid reflux requires surgical intervention
What is GERD?
A chronic condition where stomach acid repeatedly flows back into your esophagus.
GERD occurs when the lower esophageal sphincter, the muscular valve between your esophagus and stomach, becomes weak or relaxes inappropriately. This allows stomach acid and contents to flow backward into the esophagus, where they don’t belong.
Think of this valve like a one-way door that should keep stomach contents down. When it doesn’t close properly, acidic stomach contents can wash back up, causing the burning sensation known as heartburn. While occasional acid reflux is common and normal, GERD is diagnosed when this happens frequently, typically twice a week or more, and begins to interfere with your daily life or damage your esophagus.

Understanding GERD and Your Quality of Life
If you’re living with GERD, you know it’s far more than occasional heartburn. It’s the frequent disruptive, burning in your chest, the bitter taste in your mouth, the fear of eating foods you once enjoyed, and the sleepless nights propped up on pillows. From avoiding social dinners and worrying about bad breath to dealing with chronic cough and the anxiety of long-term medication use, GERD can feel like it’s controlling your life.
You’re not alone. GERD affects approximately 20% of Canadian adults. And while medications can help manage symptoms, they don’t fix the underlying problem. Some patients would prefer a surgical fix than lifelong medications. Each person is different and deserves the chance to weigh all their options. Understanding your condition is the first step toward finding a permanent solution and reclaiming your quality of life.

What Causes GERD?
GERD develops when the valve between your esophagus and stomach stops working properly.
Several factors can contribute to GERD. A hiatal hernia, where part of your stomach pushes up through your diaphragm, is a common cause. Obesity increases abdominal pressure and GERD risk. Pregnancy, certain medications, smoking, and dietary factors can also weaken the lower esophageal sphincter or increase acid production.
How GERD Progresses Over Time
Why GERD May Require Surgery

How do you know when GERD is more than manageable reflux?
- Medication Dependence: Needing daily medication to control symptoms or experiencing breakthrough symptoms despite maximum medical therapy.
- Regurgitation: Frequently tasting stomach acid or experiencing food coming back up, especially at night.
- Respiratory Problems: Chronic cough, asthma symptoms, hoarseness, or recurrent pneumonia caused by acid reaching your airways.
- Esophageal Damage: Diagnosed with esophagitis, strictures, or Barrett's esophagus.
When You Know It's Time for Surgery
You've been managing with medication, but it's not enough anymore.
You're taking pills every day and symptoms still break through. You're concerned about long-term medication use and side effects. You have a hiatal hernia that's contributing to your reflux. You've developed complications or want a permanent solution.
These are strong indicators that surgical treatment may be right for you.
Occasionally, the function of the esophagus is degraded by chronic reflux and surgery becomes difficult or impossible. It is ideal to be evaluated before damage is irreversible.
GERD Surgery (Fundoplication)
If you're considering GERD surgery, Windflower Surgical offers a clear path from assessment to recovery. Your consultation starts with a detailed review of your symptoms, the medications you've tried, and any testing you've had. You'll receive highly personalized care with a surgical approach tailored to your specific anatomy and the severity of your condition. Our surgeons at Windflower Surgical have extensive experience performing laparoscopic fundoplication, a minimally invasive procedure that strengthens the barrier between your stomach and esophagus. We also repair hiatal hernias when present. Our focus is on achieving excellent long-term results that free you from daily medication and allow you to eat normally again. With a patient-first approach, we ensure you understand what to expect and feel confident in your treatment plan.
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