ABOUT TAMPA BAY REFLUX INSTITUTE
Tampa Bay Reflux Institute is a dedicated foregut surgical practice located at 1315 South Howard Avenue in Tampa, FL. Founded in 2022 as the evolution of Tampa Bay Reflux Center, which has served the region since 2009, the practice focuses exclusively on benign conditions of the esophagus, diaphragm, and stomach.
Dr. Gopal Grandhige built this practice to close a real gap in regional care. For years, patients with large hiatal hernias were either kept on acid suppression indefinitely or steered toward surgery without proper testing. Neither path served them well. The Institute exists to offer something different: a careful, anatomy-based, physiology-driven evaluation that treats each patient as an individual rather than a protocol.
When it comes to large hiatal hernia surgery in Tampa, FL, experience and judgment matter more than volume alone. Dr. Grandhige is board-certified in general surgery, fellowship-trained in foregut and minimally invasive surgery at Yale-New Haven Hospital, and a founding member of the American Foregut Society. He is also a Fellow of the American College of Surgeons and a member of SAGES.
What sets the practice apart is restraint. Dr. Grandhige operates only when surgery is truly indicated, and he matches the procedure to the patient. That philosophy has earned consistent referrals from gastroenterologists, ENT physicians, pulmonologists, and primary care doctors throughout the Tampa Bay area and beyond.
If you have been told you have a large hiatal hernia, or if you suspect one based on persistent reflux, regurgitation, or chest pressure, you deserve a complete evaluation rather than a one-size-fits-all answer.

WHY CHOOSE US FOR LARGE HIATAL HERNIA REPAIR
Choosing the right surgeon for a large hiatal hernia is one of the most important medical decisions you can make. A hernia greater than three centimeters almost always contributes mechanically to reflux, can progress in size, and in rare cases can lead to life-threatening complications such as gastric volvulus. The repair itself is technically demanding, and outcomes depend heavily on the surgeon’s experience, the team supporting them, and the diagnostic process used to plan the operation.
Tampa Bay Reflux Institute focuses exclusively on foregut surgery. That means hiatal hernias, GERD, LPR, achalasia, and gastroparesis are not occasional cases. They are the entire practice. Dr. Grandhige has been performing minimally invasive hiatal hernia repair since 2009 and works with the same dedicated operating room team and physician assistant on every case.
Patients seeking large hiatal hernia surgery in Tampa, FL benefit from:
A complete preoperative workup that includes upper endoscopy, esophageal pH monitoring, manometry, and a functional barium swallow when needed. This testing protects you from the wrong operation.
A choice of surgical approaches, including Nissen, Toupet, Dor, and Watson fundoplications, LINX magnetic sphincter augmentation, and TIF. Beginning in 2026, RefluxStop will also be available, making Dr. Grandhige the only surgeon in the Tampa Bay area offering all four major anti-reflux procedures.
Direct access to your surgeon. Dr. Grandhige is reachable after hours when needed, and his physician assistant has worked alongside him for years and knows every patient’s anatomy and recovery plan.
Honest counseling. If surgery will not help you, you will be told so clearly. Many patients leave the consultation reassured rather than scheduled, and that integrity is why referring physicians keep sending their patients here.
You have already lived with this long enough. If a large hiatal hernia is disrupting your sleep, your meals, your breathing, or your peace of mind, the next step is clarity. A consultation at Tampa Bay Reflux Institute will help you understand exactly what is happening inside your body and what your real options are. No pressure. No assumptions. Just answers.
OUR PROVEN PROCESS
Every patient at Tampa Bay Reflux Institute follows a thoughtful, predictable pathway designed to deliver clarity quickly while never sacrificing safety. The process is built around objective testing, careful anatomy review, and shared decision-making.
Step 1: Records Review Before You Arrive
Before your first visit, Dr. Grandhige personally reviews any prior endoscopies, pH studies, manometry results, imaging, and notes from your other specialists. Patients are encouraged to send records to info@tampareflux.com ahead of their consultation.
Step 2: Comprehensive Consultation
During your visit, Dr. Grandhige takes a detailed symptom history and uses simple diagrams to explain what a large hiatal hernia actually is, why it causes reflux, and how the diaphragm and lower esophageal sphincter work together. Patients consistently say this is the first time anyone has explained their condition in a way that makes sense.
Step 3: Targeted Testing
If your prior workup is incomplete, the missing studies are scheduled efficiently through trusted local testing partners. For hiatal hernias, this often includes pH monitoring, manometry, and a functional esophagram to see exactly how your esophagus behaves during swallowing.
Step 4: Procedure Selection
Once anatomy and physiology are clear, the right operation is matched to your body. Hernia size, esophageal motility, your goals around burping and vomiting, and your overall health all shape the recommendation. There is no universally best procedure, only the right one for you. For patients also struggling with weight-related reflux factors, incisionless weight loss procedures may be discussed as part of a broader plan.
Step 5: Surgery And Recovery
All surgical procedures are performed at HCA South Tampa Hospital. Most patients go home the same day. The team you meet in the office is the same team that supports you through recovery.
SOCIAL PROOF AND CREDIBILITY
Patients consistently describe their experience at Tampa Bay Reflux Institute with the same language. They felt heard. They felt educated. They were never pressured into surgery.
“After years of being told my endoscopy was normal and there was nothing to do, Dr. Grandhige finally explained what was actually happening. The hernia repair changed my life. I sleep through the night for the first time in a decade.”
In appropriately selected patients with large hiatal hernias and typical reflux symptoms, the practice achieves greater than 95 percent success in significant symptom relief and elimination of daily reflux medications. Dr. Grandhige holds privileges at four hospitals across the Tampa Bay region, is board-certified in general surgery, and is a Fellow of the American College of Surgeons. The practice receives referrals from gastroenterologists, ENT physicians, pulmonologists, allergists, and primary care doctors throughout Florida and from out-of-state patients who travel specifically for foregut expertise. To learn more about reflux conditions, treatment philosophies, and patient education, visit our blog.

TEN COMMON SITUATIONS YOU MIGHT BE FACING
If any of these sound familiar, you are not alone, and you do not have to keep living this way.
- You have been told you have a large hiatal hernia greater than three centimeters and you are not sure what to do next.
- You have been on daily or twice daily acid suppression for years, and your symptoms still come back the moment you miss a dose.
- You wake up at night with regurgitation, coughing, or a sour taste in your mouth, and your sleep has suffered for years.
- You have been told your endoscopy is normal, but your reflux symptoms tell you something is clearly wrong.
- You experience chest pressure, shortness of breath, or difficulty swallowing food, and no one has explained why.
- You have been treated for asthma, allergies, or sinus issues without lasting improvement, and you suspect silent reflux.
- You have lost weight unintentionally because eating is uncomfortable, or because food gets stuck.
- You have already had reflux surgery elsewhere and your symptoms have returned or never fully resolved.
- You want to stop relying on medication and finally fix the underlying mechanical problem.
- You are scared of surgery because of horror stories you have heard, and you need an honest, careful evaluation before deciding anything.
FAQS
Ready for Real Relief? Let’s Talk.
You have spent enough time wondering, guessing, and hoping the next medication will work. A large hiatal hernia is a mechanical problem that needs a mechanical solution, and the right team makes all the difference. Tampa Bay Reflux Institute combines deep specialization, honest counseling, and a continuity of care that is rare in modern medicine. Whether you are ready to schedule surgery or simply want a clearer understanding of your condition, the next step is the same. Reach out, send your records, and let Dr. Grandhige walk you through what is actually happening and what can be done about it.
For trusted, specialized large hiatal hernia surgery in Tampa, FL, contact Tampa Bay Reflux Institute today.
An endoscopy cannot tell you if you have reflux. It can only tell you if you have complications of GERD.
If you are unhappy with your reflux symptoms, come in and we can discuss testing and treatments that can accurately diagnose your problem.
#reflux #gerd #hiatalhernia #gastroparesis #linx
CALL US AT 813-922-2920
www.tampareflux.com
If you have a hiatal hernia and fit one of these categories, you should know your options.
Dr. Grandhige is an expert in his field and performs 200 of these surgeries a year. He is the only surgeon in the Tampa Bay Area who offers all surgical options - LINX, Fundoplications, TIF and will be one of 20 surgeons in America introducing the latest procedure RefluxStop in 2026.
We accept most insurances but will verify yours before you come in. These procedures are considered medically necessary and covered by your insurance. You can expect to pay your in-network deductibles and nothing else.
#hiatalhernia #reflux #GERD #LINX #refluxstop
What causes reflux ?
1. Weak lower esophageal sphincter
2. Hiatal hernia
3. Flattening of the Angle of His
4. Poor esophageal motility
5. Gastroparesis (slow stomach)
NOT increased acid production
Don’t let GERD get in the way of living your life. Request your appointment with us today on the link below.
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https://tampareflux.com/contact-us/
Anyone can be victim to GERD and though weight loss can help reduce GERD symptoms. Many athletes with high impact workouts may continue to have these symptoms. This may be a symptom of a hiatal hernia or other issue. We are more then happy to assist you in finding your solution, just click the link below.
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https://tampareflux.com/contact-us/
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#nonsurgicalweightloss #ESG #gastricballoon #weightlossjourney #vsg #vsgjourney #spatz3 #orbera #orberaballoon #grandhige #DrG
#tampabayrefluxinstitute #guthealth #roboticsurgery
Heartburn may seem like an annoyance. But if you find yourself having symptoms on a daily basis, it may be time to to talk to Dr. Grandhige as it could be a symptom of something worse.
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#nonsurgicalweightloss #ESG #gastricballoon #weightlossjourney #vsg #vsgjourney #spatz3 #orbera #orberaballoon #grandhige #DrG
#tampabayrefluxinstitute #guthealth #roboticsurgery
If you are tired of avoiding your favorite foods or taking daily medications, we can help.
We are the Tampa experts in reflux ! With years of experience and thousands of patients treated successfully, we offer all FDA approved anti-reflux procedures.
Call 813-922-2920 to schedule your appointment
All major insurances accepted.
Not all patients need surgical intervention. Many patients are living a heartburn free life with their PPIs. However 40% of patients taking PPIs are not getting the relief they need. If you are one of those, you have options! Come in and find out more.
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#nonsurgicalweightloss #ESG #gastricballoon #weightlossjourney #vsg #vsgjourney #spatz3 #orbera #orberaballoon #grandhige #DrG
#tampabayrefluxinstitute #guthealth #roboticsurgery
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