Fundoplication options show noteworthy differences in recurrence rates and patient outcomes.

• Fewer symptomatic recurrences after fundopexy: 1.3% vs. 17.3% for toupet over 66 months.
• Comparable rates of postoperative dilation for dysphagia: 21.3% for toupet, 13.3% for fundopexy.

Consider fundopexy for patients at risk of recurrence; randomized studies are needed to confirm these findings.

• Similar complication rates and operative durations for both techniques, ensuring safety in practice.