Question 1

How does hiatal hernia surgery work and when is it recommended?

Accepted Answer

The most common surgical procedure for hiatal hernia is a Nissen fundoplication, in which the upper portion of the stomach is wrapped around the lower esophagus to reinforce the lower esophageal sphincter and prevent acid reflux. Surgery is typically recommended for large hernias, severe GERD unresponsive to medication, or complications such as esophageal damage. However, surgery addresses the mechanical structure but does not correct the underlying dietary, inflammatory, or functional factors that contributed to the hernia in the first place. Root Cause Medical Clinic offers a non-surgical evaluation to determine whether conservative treatment may help first. Call (727) 335-0400.

Question 2

Why do some people still have symptoms after hiatal hernia surgery?

Accepted Answer

Persistent symptoms after hiatal hernia surgery are more common than many patients expect. Surgery corrects the structural hernia but does not address root causes such as food sensitivities, gut inflammation, delayed gastric emptying, or diaphragm dysfunction, all of which can continue to produce reflux, bloating, and discomfort even after a technically successful procedure. Some patients also develop new symptoms such as difficulty swallowing or gas-bloat syndrome following the wrap. This is why a thorough root cause evaluation is valuable both before and after surgery. Contact Root Cause Medical Clinic at (727) 335-0400.

Question 3

Are there non-surgical alternatives to hiatal hernia surgery?

Accepted Answer

Yes. For many patients, a combination of manual therapy to reposition the hernia, dietary modification to reduce inflammation and reflux triggers, diaphragmatic strengthening exercises, and functional medicine protocols can significantly reduce or eliminate symptoms without surgery. Root Cause Medical Clinic has been providing non-surgical hiatal hernia treatment since 1992 with an 85% success rate using the Root Cause Method. Dr. Vikki Petersen recommends exhausting conservative options before considering surgery for most patients. Call (727) 335-0400 to find out if you are a candidate.

Question 4

What are the risks of hiatal hernia surgery I should know about?

Accepted Answer

Hiatal hernia surgery carries standard surgical risks including infection, bleeding, and anesthesia complications, as well as procedure-specific risks such as injury to the esophagus or vagus nerve, difficulty swallowing (dysphagia), inability to belch or vomit, and recurrence of the hernia over time. Studies suggest that a meaningful percentage of patients require reoperation within 10 years. These considerations make it important to fully explore non-invasive treatment options before proceeding with surgery. Dr. Vikki Petersen and the team at Root Cause Medical Clinic can help you weigh your options. Call (727) 335-0400.

Is it Worth Getting Hiatal Hernia Surgery? – Video

Is Hiatal Hernia Surgery Really Necessary?

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Additional Resources

Is it Worth Getting Hiatal Hernia Surgery? – Video

Is Hiatal Hernia Surgery Really Necessary?

Get In Touch!

Additional Resources

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