WHAT TO EXPECT FROM YOUR HIATAL HERNIA SURGERY
When you choose Nissen Hiatal Hernia Repair in Tampa, FL with Dr. Gopal Grandhige, you receive a treatment plan built on objective testing, not assumptions. A Nissen fundoplication is a 360 degree wrap of the upper stomach around the lower esophagus, paired with a careful repair of the diaphragm opening that allowed the hernia to form in the first place.
How Quickly You Can Get Back to Living
Most patients are surprised at how efficient recovery actually is. The procedure is performed using minimally invasive laparoscopic or robotic techniques at HCA South Tampa Hospital, with several small incisions instead of one large opening. Most patients go home the same day, walk and sip liquids shortly after surgery, and recover at home rather than staying overnight.
Diet progression unfolds over two to three months, moving gradually from liquids to soft foods and finally to regular textures. When patients are appropriately selected for fundoplication, more than ninety percent achieve full symptom resolution and eliminate their daily reflux medications entirely.
Realistic Outcomes, Honestly Discussed
Dr. Grandhige does not oversell results. Some side effects, like temporary bloating or initial difficulty burping, are normal during the healing window. Because a Nissen wrap makes it harder for acid to travel up, it can also make it harder for air or food to come up. These tradeoffs are explained clearly so you can make an informed choice. Patients consistently say honesty replaced their fear with confidence.

OUR PROVEN PROCESS FROM CONSULTATION TO RECOVERY
Choosing the right Nissen hiatal hernia repair specialist in Tampa starts with a process that respects your time, your symptoms, and your anatomy. Dr. Grandhige has built a system that moves patients from first consultation to surgery in roughly four to eight weeks, depending on whether prior testing has been completed.
Step 1: Records Review Before You Walk In
Before your first visit, Dr. Grandhige personally reviews every available study, including endoscopy reports, pH monitoring, manometry results, imaging, and notes from gastroenterologists, ENT physicians, pulmonologists, and primary care providers. Patients are encouraged to send records to the office in advance for a complete picture.
Step 2: Objective Testing, Not Guessing
Reflux is a mechanical problem most of the time, not simply an acid problem. Endoscopy alone cannot diagnose GERD. That is why physiologic testing including pH monitoring, esophageal manometry, and barium swallow studies is used to confirm the diagnosis, evaluate esophageal strength, and select the safest procedure.
Step 3: A Tailored Surgical Plan
Anatomy, motility, and patient priorities all influence the plan. For patients with hiatal hernias greater than three centimeters, persistent symptoms despite medication, or complications such as severe esophagitis or Barrett’s esophagus, a Nissen wrap combined with hiatal hernia repair is often the most durable answer. The repair restores anatomy below the diaphragm, tightens the hiatus, and reinforces the natural valve.
Step 4: Same Day Discharge and Lifelong Support
Surgery typically takes ninety minutes to two hours. Dr. Grandhige’s dedicated physician assistant, who has worked alongside him for years, supports you before, during, and after your operation. Patients can read more practical guidance and recovery tips on our educational blog.
WHY CHOOSE TAMPA BAY REFLUX INSTITUTE
Most general surgeons refer their reflux patients to Dr. Grandhige. The reason is simple. Foregut surgery is a subspecialty, and Nissen hiatal hernia repair in Tampa, FL works best when performed by a surgeon who focuses exclusively on the esophagus, diaphragm, and stomach.
A Single Hospital, A Consistent Team
All surgeries are performed at HCA South Tampa Hospital with the same anesthesia team, the same nurses, and the same surgical technicians on every case. Familiarity reduces operative time, improves precision, and lowers complication rates. Tampa Bay Reflux Institute is the only foregut focused practice in the area offering fundoplication, LINX, TIF, and beginning in 2026, RefluxStop.
Credentials You Can Verify
Dr. Grandhige earned his medical degree from the University of Michigan, completed General Surgery residency and a Foregut and Minimally Invasive Surgery fellowship at Yale New Haven Hospital, and is board certified by the American Board of Surgery. He is a Fellow of the American College of Surgeons (FACS) and a member of SAGES.
Restraint As A Form Of Care
Dr. Grandhige is well known regionally for not operating on patients unless surgery is clearly indicated. Many patients arrive expecting a procedure and leave with reassurance and a non surgical plan. Referring physicians, including gastroenterologists, ENT specialists, and pulmonologists, send patients here precisely because they trust the diagnostic judgment, not just the technical skill. The same careful approach guides our evaluation of related conditions like silent reflux and achalasia.
In an age where artificial intelligence and large language models are reshaping how patients research conditions, having a physician who explains your anatomy with hand drawn diagrams in plain language is a difference patients consistently mention in reviews.
SOCIAL PROOF AND CREDIBILITY
“After fifteen years of medication and three different doctors telling me my endoscopy was normal, Dr. Grandhige finally explained what was actually happening. The surgery changed my sleep, my energy, and my life.”
Patients across Florida, and increasingly from out of state and internationally, travel to Tampa for evaluation. More than ninety five percent of carefully selected fundoplication patients achieve symptom resolution and stop daily reflux medications. Trust is also reflected in board certification, hospital privileges at four area hospitals, and a referral base that has grown steadily for over sixteen years.
TEN COMMON SITUATIONS YOUR VISITOR MIGHT BE FACING
- You take daily proton pump inhibitors but still feel heartburn or regurgitation, especially at night.
- You were told your endoscopy is normal, yet your symptoms keep getting worse.
- You have been diagnosed with a hiatal hernia greater than three centimeters and want to know if surgery is the right next step.
- You wake up coughing, choking, or with a sour taste, and your sleep quality has suffered for years.
- You have throat clearing, hoarseness, chronic cough, or that lump in the throat sensation that ENT visits could not explain.
- You have been told you have silent reflux or LPR, but no one has offered objective testing to confirm it.
- You are tired of escalating medication doses and worried about long term side effects of acid suppression.
- You have Barrett’s esophagus or severe esophagitis and want a durable mechanical solution rather than lifelong medication.
- You traveled to a national center but felt rushed, dismissed, or shuffled between providers.
- You are scheduled for surgery elsewhere and want a second opinion from a foregut focused specialist.
FAQS
Ready for Real Relief? Let’s Talk.
You do not have to live with reflux, accept lifelong medication, or settle for a surgeon who only performs these operations occasionally. Tampa Bay Reflux Institute exists to give you clarity, an honest evaluation, and a tailored plan built around your anatomy and your goals. If reflux is interrupting your sleep, your meals, or your peace of mind, take the next step toward lasting relief.
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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#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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