Laparoscopic Nissen fundoplication shows strong long-term effectiveness for GERD with high patient satisfaction over 10 years.

• Heartburn prevalence dropped from 94% to 34% post-surgery.
• Overall patient satisfaction reached 87%, with 87% willing to repeat the procedure.

Consider LNF for candidates seeking durable symptom relief, keeping in mind potential for gas-bloating and dysphagia in over half of patients.

• Symptom recurrence occurred in 17%, and reoperation was needed in 6%.