Nissen Fundoplication in Mexico — Tijuana, Guadalajara & Puerto Vallarta

Q: Are the results of Nissen fundoplication permanent?

Over 90% of patients maintain excellent results long-term. A small percentage may experience recurrence years later, usually associated with uncontrolled weight gain.

Q: Will I really be able to stop taking omeprazole?

In 90–95% of cases, yes. Most patients discontinue acid-suppressing medication within weeks to months after surgery.

Q: Do I need an endoscopy before surgery?

Yes. Upper endoscopy confirms the hiatal hernia, grades esophagitis, and rules out Barrett’s esophagus. Manometry is also required.

Q: What is the difference between Nissen and Toupet fundoplication?

Nissen is a full 360° wrap. Toupet is 270° and is preferred when manometry shows reduced motility, to minimize risk of post-op dysphagia.

Q: How much does Nissen fundoplication cost in Mexico vs. the U.S.?

In the U.S., the procedure with hospital and anesthesia typically costs $20,000–$35,000+. Our all-inclusive package in Mexico covers surgery, hospital, anesthesia, and follow-up at 60–75% lower cost.

Q: Can I have this surgery if I have Barrett’s esophagus?

Yes. Fundoplication controls the acid reflux that drives Barrett’s, though it does not reverse existing damage. Endoscopic surveillance continues after surgery.

Q: What if I already had fundoplication and reflux returned?

This is revisional fundoplication. It is more complex due to scar tissue, but Dr. López has experience in laparoscopic revision.

Q: Can I combine this with bariatric surgery?

In patients with obesity and GERD, both fundoplication and Roux-en-Y gastric bypass are considered; gastric bypass becomes more relevant as BMI rises and, especially, after a failed fundoplication. The right option depends on your BMI, other medical conditions, and test results.

Permanent surgical solution for chronic acid reflux (GERD) and hiatal hernia. Stop omeprazole for good. FACS-certified surgeon. 90% of patients reflux-free at 10 years.

💬 WhatsApp Consultation 📞 Call Now

90%+

Reflux-free at 10 years

60–75%

Savings vs. U.S. cost

20,000+

Laparoscopic surgeries

FACS

Board-certified surgeon

Nissen Fundoplication

Acid Reflux and GERD Surgery in Mexico

Board-certified laparoscopic Nissen fundoplication for international patients with chronic acid reflux (GERD) and hiatal hernia — permanent relief without lifelong medication — at accredited hospitals.

Laparoscopic Nissen
Hiatal hernia repair
Permanent GERD relief
Off daily antacids
Board-certified surgeon
Accredited hospitals

From $4,200 USDAll-inclusive package

Request Your Free Quote

Board-certified surgery in Mexico. A bilingual coordinator replies within one business day — no obligation.

1 · About you2 · Contact

🔒 Your information is private and used only to prepare your quote.

PROCEDURE

What Is Nissen Fundoplication?

The laparoscopic Nissen fundoplication is the gold-standard surgical treatment for chronic GERD and hiatal hernia. It recreates the lower esophageal sphincter — the natural valve that prevents stomach acid from traveling up into the esophagus — by wrapping the upper portion of the stomach (fundus) 360° around the lower esophagus.

Dr. López performs it through 4–5 incisions of less than 1 cm under general anesthesia. The hiatal hernia is repaired simultaneously. Duration: 60–90 minutes. Hospital discharge: next morning.

🔄 Definitive Solution

90–95% of patients stop acid-suppressing medication entirely within 3–6 months.

🔬 Laparoscopic

5 small incisions (<1 cm). Magnified camera. No large abdominal opening.

🛡️ Hiatal Hernia Repaired

The hiatus is closed with permanent sutures (cruroplasty) during the same procedure.

⏱️ Fast Recovery

Desk work in 2–3 weeks. Full activity by 4–6 weeks. Travel home day 3–5.

SURGICAL STEPS

How the Laparoscopic Nissen Fundoplication Is Performed

Laparoscopic access — 4–5 incisions of 5–12 mm. CO₂ insufflation creates the working space.
Hiatal hernia reduction — the stomach is repositioned below the diaphragm.
Cruroplasty — the enlarged diaphragmatic hiatus is closed with permanent sutures.
Fundic mobilization — short gastric vessels are divided to fully mobilize the gastric fundus.
360° fundoplication wrap — the fundus is wrapped completely around the lower esophagus and sutured into position.

Total (Nissen) vs. Partial (Toupet) Fundoplication

Nissen is a full 360° wrap — most effective for GERD control. Toupet (270°) is preferred when esophageal manometry shows dysmotility, to reduce risk of postoperative dysphagia. Dr. López selects the technique based on your manometry results.

AM I A CANDIDATE?

Who Is a Good Candidate for Fundoplication?

Surgery is recommended when:

GERD symptoms persist despite 6+ months of PPI therapy
You want a permanent solution — no more daily medication
Endoscopy confirms hiatal hernia with esophagitis grade B, C, or D
Regurgitation affecting sleep, work, or quality of life
Paraesophageal hernia (risk of volvulus)
Laryngopharyngeal reflux (LPR) causing chronic cough or hoarseness

Required pre-op studies:

Upper endoscopy confirming hiatal hernia and esophagitis grade
Esophageal manometry (motility study)
24-hour pH monitoring if diagnosis is uncertain
Standard pre-op labs and cardiac clearance

RECOVERY

Recovery After Nissen Fundoplication

Period	What to Expect
First 24h	Hospital stay; liquid diet; mild discomfort when swallowing — normal and expected
Days 2–7	Soft/pureed diet at home; no antacids needed; light activity
Weeks 2–3	Return to desk work; semi-solid diet; follow-up teleconsult
Months 1–2	Normal diet and full physical activity resumed
3–6 months	Esophageal erosions healed; 90%+ patients completely off PPIs

Temporary dysphagia (difficulty swallowing) is common in the first 2–4 weeks as swelling resolves. Most international patients travel home 3–5 days after surgery.

LOCATIONS

3 Surgical Locations for U.S. & Canadian Patients

Tijuana, Baja California

Hospital DREAMS — accredited private hospital 20 minutes from the San Diego border. Most affordable option.

Guadalajara, Jalisco

Hospital Puerta de Hierro (Andares) and Hospital Innovare. Direct flights from most U.S. and Canadian cities.

Puerto Vallarta, Jalisco

Hospital CMQ Riviera Nayarit. Combine surgery with recovery in a resort destination.

RELATED PROCEDURES

Related Conditions & Procedures

FAQ

Frequently Asked Questions