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The large majority of patients that I see and treat are going to have both a hiatal hernia and reflux. And so most of those patients are going to undergo a combo hiatal hernia repair and TIF procedure. Typically the way that I perform hiatal hernia surgery is minimally invasive. I do a lot of robotic surgery. And som typically I repair a hiatal hernia robotically. What that means for a patients is there are going to be several small cuts in their abdomen for us to go internally. Weamp;#39;re going to get things pulled back where they belong. Where the opening is, where stuff travels through, oftentimes needs to be narrowed down, typically with suture - to repair and reinforce that hernia. Once that portion of the procedure is complete we then will (with the scope) perform the TIF (the incisionless fundoplication). While theyamp;#39;re still asleep, the scope will run down and weamp;#39;ll recreate that reflux valve to perform the TIF. Typically this proce