Click the tabs below to see answers to frequently asked questions about cTIF.
Clinical studies show that cTIF is highly effective for treating typical and atypical symptoms of GERD. Most patients no longer take daily medications for acid reflux and report having effective symptom control.
Patients rarely report experiencing the long-term side effects associated with traditional anti-reflux surgery. Our team will discuss possible risks and side effects at your consultation.
Nine out of 10 patients go home the same day.
The majority of patients are able to completely discontinue long-term acid reflux medications after the cTIF has healed.
For appropriate candidates, cTIF restores normal anatomy, often resulting in fewer side effects such as gas-bloat or difficulty swallowing.
Minimal scars: The hiatal hernia repair is performed robotically or laparoscopically, and the valve reconstruction is performed entirely through the mouth (transoral).
Same-Day Recovery: Most patients leave the hospital the same day and return to work within a few weeks.
High Success Rate: Nearly 9 out of 10 patients stop taking daily reflux medication.
Superior Safety: Patients experience significantly fewer side effects – like gas-bloat or long-term swallowing issues – compared to traditional surgeries.
The procedure is performed in Savannah, but we have helped patients throughout multiple areas and other states, including Hilton Head, Bluffton, Brunswick, Pooler, Statesboro, Charleston, Jacksonville, and throughout Georgia, South Carolina, and North Florida.
Yes, the cTIF is as effective for fixing reflux, with significantly fewer side effects. Nissen still has a place for severe or anatomically complex cases. The right answer depends on your specific situation.
Most GERD and acid reflux patients have a hiatal hernia, and the hernia is part of what’s driving the reflux. Performing a TIF without addressing the hernia typically leads to weaker long-term results, which is why we recommend cTIF for most patients rather than TIF alone.
Yes. One advantage of starting with cTIF is that it doesn’t burn any bridges. If you ever need a more aggressive surgery later, it’s still an option.
Most major insurance plans, including Medicare, cover cTIF when it’s medically indicated. Coverage varies by plan, and our team will help verify your benefits before scheduling.
Most cTIF procedures take about 60–90 minutes total. Most patients go home the same day, a few patients will stay one night in the hospital.
This is possible, however it depends on your anatomy after the previous surgery. Some revision cases are candidates for endoscopic approaches; others require a redo laparoscopic or robotic surgery. A consultation and imaging will clarify your options.

