The Latest, Most Advanced GERD Treatment Available

Robotic Fundoplication Surgery

The revolutionary da Vinci robotic system is one of the most significant advancements in surgery in decades. It allows us to perform fundoplication surgery with enhanced precision and control using special wrist tools and 3D imaging. That means fewer complications, less pain and a faster recovery.

Laparoscopic Fundoplication Surgery

This procedure uses special tools and a small camera known as a laparoscope to perform the surgery with very small incisions. The camera magnifies the abdominal cavity to provide greater precision during surgery. Three to five small incisions are typically required for this procedure with a hospital stay of one to two days.

Open Fundoplication Surgery

Traditional fundoplication uses an open approach that involves a larger incision and the surgeon’s own hands to perform the procedure. While this technique is used much less frequently in light of the newer, less invasive techniques, there are still some circumstances where open fundoplication may be the best procedure for you.

You’re in good hands 

Missoulians have trusted Missoula Surgical Associates for over 25 years. 

 Common Questions 

What’s the difference between heartburn and GERD?

Heartburn is a burning sensation in the chest just behind the breastbone. It’s a common problem that many effectively treat with over the counter medications. However, when heartburn occurs with more frequency, it can indicate that a more serious medical condition might be going on. Gastrointestinal Reflux or GERD is a chronic condition characterized by frequent bouts of heartburn. If left unchecked, complications of GERD can arise that may be severe and even permanent in some cases. 

GERD is a chronic digestive condition that occurs when stomach acid refluxes back into your esophagus. Because the esophagus does not have the same protective lining found in the stomach, the acid can irritate the esophageal lining and cause that familiar burning sensation known as heartburn. People who suffer heartburn more than twice a week or to the point that it interferes with daily, life may be diagnosed with GERD. 


  • Burning sensation in the chest that may spread to the throat 
  • Sour or bitter taste in the mouth 
  • Feeling like there is a lump in your throat 
  • Difficulty swallowing 
  • Hoarseness or a chronic cough 
  • Chest pain, sometimes mistaken for a heart attack 


    Common treatments for GERD include medication to reduce stomach acid and heal the esophagus. If medication doesn’t work, or if a patient has concerns about the length of time they’ll be on medication, surgery may be recommended to stop the damage to the esophagus and prevent further complications from arising. 

    Why have GERD surgery?

    Surgery for GERD is typically recommended when other treatment options have not been effective. The standard surgical procedure for this condition is called Nissen Fundoplication. This procedure wraps the top of the stomach around the lower esophagus and reinforces the lower esophageal sphincter (LES). By tightening the LES, acid is no longer able to back up from the stomach into the esophagus. This provides relief from painful heartburn symptoms and prevents future damage to the esophagus. 

    How do I get started?

    Because most insurance companies require a referral, the first step is to talk with your physician and run some tests. With test results and a referral from your doctor, we can walk you through your options and help you decide on the treatment that’s best for you.

    To us, you’re family

    We know what it’s like. So from the moment you walk in the door, our entire team treats you like we would our own.

    “They are compassionate, caring and willing to listen to even the smallest concern…everyone I came in contact with at Missoula Surgical Associates actually took the time to treat me like a human and not a number being punched into a computer.”

    – Anonymous

    “I gave MSA 5 stars because it would not let me do 10! Easily the finest health care service I have ever received. Intelligent, thorough, caring and responsive. Dr Katine, extremely competent, supportive and respectful. A bright spot in today’s healthcare.”


    “It was more than obvious that they all take great pride in their work. They greeted me with a smile and made sure every concern was addressed before checkout. I would absolutely recommend Missoula Surgical, and I already have!”

    – Alexander