TIF Surgery

TIF Surgery for Gastro Esophageal Reflux Disease (GERD)



Acid Reflux or GERD is caused by anatomic changes in the body’s natural anti-reflux valve, or gastroesophageal valve. Normally after swallowing the valve between the esophagus and the stomach opens to allow food to pass, and closes to prevent stomach contents from refluxing into the esophagus. Excessive weight, diet, aging and injuries to the abdomen are among the factors contributing to deterioration of the anti-reflux valve. 


TIF (Transoral Incisionless Fundoplication) treats the underlying cause of GERD without incisions. This innovative procedure reconstructs the anti-reflux valve and restores the body’s natural protection against reflux. Paul Ulich, MD and Jorge Posadas, MD, are the regional experts in performing this procedure. Winchester Surgical Clinic is a Valley Health physician practice.

TIF patients reported 80% improvement in the quality of life in recent studies. They also reported reduction or elimination of heartburn symptoms. 79% of patients were completely off daily medications two years after the procedure.

Benefits of Incisionless Acid Reflux Surgery:

  • No external incisions – no scarring
  • No internal cutting or dissection of the natural anatomy – more rapid recovery
  • Fewer adverse events and complication
  • Does not limit future treatment options
  • Can be reversed if required

TIF has been proven to be safe through thousands of procedures performed around the world.  TIF is performed under general anesthesia and will require you not to eat or drink for several hours prior to the procedure.  The procedure will generally take less than one hour.


Most patients go home the day after the procedure and can return to work and most normal activities within a few days. Some discomfort in the stomach, chest, nose and throat should be expected during the first few days to a week after the procedure. Patients will be asked to restrict physical activity for the first week. They are also given dietary guidelines to help maximize the success of the treatment as the tissue heals.