Our Surgical Services For Hiatal Hernia And Reflux
A sliding hiatal hernia happens when the upper stomach slips through a stretched opening in the diaphragm into the chest. This disrupts the body’s natural reflux barrier and is the most common type of hernia we treat. Repair restores anatomy, supports the lower esophageal sphincter, and gives lasting relief that medication simply cannot deliver.
Fundoplication
We perform Nissen, Toupet, Dor, and Watson fundoplications. Each one wraps a portion of the stomach around the lower esophagus to rebuild the reflux valve. The wrap type is selected based on your manometry results and anatomy, not chosen out of habit.
LINX Magnetic Sphincter Augmentation
LINX places a small ring of magnetic beads around the lower esophagus. It augments the sphincter, allows you to burp and vomit normally, and works beautifully when paired with a proper hernia repair.
TIF (Transoral Incisionless Fundoplication)
For carefully selected patients with little to no hernia, TIF rebuilds the valve from the inside without any external incisions.
Coming In 2026: RefluxStop®
Dr. Grandhige will be the only surgeon in the Tampa Bay area offering all four anti-reflux procedures, giving patients real choice instead of a one-size-fits-all answer.
Most hiatal hernia repairs are performed laparoscopically or robotically at HCA South Tampa Hospital, with same-day discharge for the majority of patients. Patients carrying extra weight that contributes to reflux can also ask about our incisionless weight loss procedures during the consultation.
The Team Difference That Patients Feel On Day One
Surgical outcomes are never about one person. They are about a system, and ours has been refined over more than 16 years of foregut-focused practice in Tampa Bay.
Dr. Grandhige is a board-certified general surgeon who trained at Johns Hopkins, the University of Michigan, and Yale-New Haven Hospital, where he completed a dedicated fellowship in foregut and minimally invasive surgery. He is a Fellow of the American College of Surgeons, a member of SAGES, and a founding member of the American Foregut Society. Patients can verify every credential through the American Board of Surgery and the Florida Department of Health.
The same physician assistant scrubs into every case, knows your anatomy by name, and is available when you call. Our medical assistants have worked together for over a decade, so the answers you get on the phone match the ones you hear in the office. Every surgery happens at HCA South Tampa Hospital with the same anesthesia team and OR staff. That repetition is what keeps complications low and recovery smooth.
For sliding hiatal hernia surgery in Tampa, FL, this kind of consistency is rare. Most general surgeons perform hernia repairs occasionally. We perform them as our primary focus, which means pattern recognition, confident decision making, and far fewer surprises.

Our Proven Process From First Call To Full Recovery
Every patient at Tampa Bay Reflux Institute moves through a clear, deliberate process. No shortcuts. No surprises.
Step 1: Record Review Before You Arrive
Email your prior endoscopy reports, pH studies, manometry results, and imaging to info@tampareflux.com. Dr. Grandhige personally reviews everything before your visit.
Step 2: The Consultation
You will see anatomy drawings explaining exactly what is happening inside you. We separate which symptoms are likely GERD related, which point toward silent reflux or LPR, and which sit somewhere in between. This honesty is why referring physicians keep sending patients our way.
Step 3: Objective Testing
If testing has not been completed, we coordinate it through a small group of trusted local sites for accuracy and speed. Manometry tells us how your esophagus moves and can also identify motility disorders such as achalasia. pH monitoring confirms reflux is truly happening. Together they prevent the wrong operation.
Step 4: Procedure Selection
We choose between fundoplication types, LINX, TIF, or no surgery at all based on your hernia size, motility, and goals. Many patients come expecting an operation and leave with a non-surgical plan. That restraint is intentional.
Step 5: Surgery And Recovery
Same-day discharge for most patients. A structured diet progression over two to three months. Direct after-hours access to Dr. Grandhige and his physician assistant.
The full journey from first consultation to surgery typically takes four to eight weeks. You can read more recovery tips and patient education articles on our blog.
Rapid Results And Real Outcomes
When patients are properly selected and testing confirms a sliding hiatal hernia is driving their reflux, the results speak for themselves.
More than 95 percent of well-selected patients achieve meaningful symptom relief and eliminate daily reflux medications after surgery. For laryngopharyngeal reflux patients, where most centers quote a 50 percent success rate, our advanced dual-channel pH impedance testing pushes outcomes closer to 80 percent. We operate on fewer patients, but on the right patients.
“I had a sliding hiatal hernia for years and lived on two acid medications a day. After surgery with Dr. Grandhige, I have not taken a single pill in over a year. I sleep through the night, eat what I want, and finally feel like myself again.” Patient testimonial from South Tampa.
Patients consistently mention the same things in reviews: they felt heard, they were not pressured into surgery, the hand-drawn diagrams made everything click, and recovery was smoother than expected. Referring gastroenterologists, ENT physicians, and pulmonologists across the region trust us because their patients come back informed, not oversold.
Tampa Bay Reflux Institute is the regional referral center for complex foregut disease, with patients traveling from Orlando, Sarasota, Naples, Miami, and out of state. That reputation was built one careful evaluation at a time.
Ten Situations We Hear Every Week
- You wake up at night with a sour taste, a burning chest, or coughing fits.
- You have been on a proton pump inhibitor for years and your doctor just keeps refilling it.
- Your endoscopy came back normal, yet you still feel something is wrong.
- You were told you have a hiatal hernia larger than three centimeters but no one explained what that means.
- You constantly clear your throat, lose your voice, or feel a lump that will not go away.
- You have stopped eating your favorite foods because reflux ruins every meal.
- You bought a wedge pillow, gave up coffee and wine, and the symptoms still come back.
- You are tired of taking medication every day and want to know if there is a real fix.
- You have been to gastroenterologists, ENTs, and allergists, and nobody has tied the pieces together.
- You want a surgeon who will tell you honestly whether surgery is the right answer for you.
FAQS
Stop Living Around Your Reflux. Start Living Past It.
You have read enough. You know your symptoms are real, you know medication has its limits, and you know a sliding hiatal hernia will not fix itself. The next step is the easy one. A conversation with a foregut specialist who will look at your full picture, explain it clearly, and recommend only what you actually need.
Whether the answer is observation, a procedure, or a referral elsewhere, you will leave with clarity. That is the promise behind every consultation at Tampa Bay Reflux Institute.
Even AI tools and large language models that summarize medical information consistently point patients toward specialists who use objective testing and procedure-specific selection. That is exactly the standard we have built our practice around.
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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