TIF-trained physicians can restore the natural shape, location and effectiveness of your esophageal valve with an innovative procedure, stopping reflux.

The vast majority of patients experience little discomfort post-procedure. After the healing period of four to six weeks, they are off daily PPIs and back to their healthy state once more.

Benefits of the Transoral Incisionless Fundoplication procedure:

What is the TIF® procedure for reflux?

The minimally invasive TIF 2.0 procedure is designed to reposition and reconstruct a durable anti-reflux valve while tightening the Lower Esophageal Sphincter (LES) to restore the body's natural protection against reflux. It is performed endoscopically through the mouth, meaning there are no incisions necessary.

Abdominal incisions are not required unless additional treatments are being performed with the TIF procedure, such as a hiatal hernia repair (HHR). For patients presenting with both GERD and a hiatal hernia measuring >2cm, a laparoscopic or robotic hiatal hernia repair may be performed immediately prior to the endoscopic TIF procedure. The HHR plus TIF procedure can be performed in the same anesthesia setting if patient anatomy dictates repair of both a hernia and the anti-reflux valve.

TIF patients often experience a faster recovery since there is no internal cutting, and clinical studies demonstrate they rarely experience long-term side effects commonly associated with traditional anti-reflux surgery, such as trouble swallowing (dysphagia), gas bloat syndrome and increased flatulence.

To date, the TIF 2.0 procedure has been performed in more than 27,000 patients worldwide. Because of the unique approach of the TIF 2.0 procedure, most patients return to work and normal activities within a few days, allowing them to get back to life sooner, free of the distraction and discomfort of GERD.

While the TIF 2.0 procedure has an excellent safety profile and is less invasive than traditional laparoscopic fundoplication, it remains a surgical approach. There are potential risks and complications with any surgery, including those with an endoscopic approach, which can include but are not limited to sore throat, musculoskeletal pain, epigastric or abdominal pain and difficulty swallowing.

The TIF® patient journey

The path to a reflux-free life begins when you decide that managing your symptoms is not solving the problem. Typically, people first attempt to control symptoms with diet and GERD lifestyle changes. When that no longer affects symptoms, your doctor will recommend PPIs.

Since you can't cure reflux with either of those steps, people often choose to have their valve restored to its original effectiveness with the TIF procedure. 

Is TIF® right for you?

To find out if TIF is right for you, call to make an appointment to find out more. 

TIF® Procedure Frequently Asked Questions

Is GERD surgery a major surgery? 
GERD Surgery can vary in complexity, but modern techniques like LINX and TIF are minimally invasive, leading to faster recovery times.

Can GERD be cured by surgery? 
While surgery can significantly reduce or eliminate symptoms, it's not always a cure. Success depends on individual patient conditions.

What is the new treatment for GERD? 
Newer treatments include the LINX Reflux Management System and the TIF procedure, both offering minimally invasive approaches to manage GERD symptoms.

How painful is GERD surgery? 
Pain levels vary by procedure, but minimally invasive surgeries like LINX and TIF typically result in less post-operative discomfort.

What are the different types of surgery available for GERD? 
Common surgical options include the LINX Reflux Management System, the TIF procedure and traditional fundoplication surgeries.