TIF Procedure for GERD


Transoral Incisionless Fundoplication (TIF) treats GERD causes without requiring incisions. This procedure uses reconstruts the antireflux valve and restores the body’s natural protection against reflux. The procedure is performed within the GI tract with a device that is inserted through the patient’s mouth. The operation is completely incisionless, as it is performed transorally.


  • No scarring or incisions.
  • No cutting or dissecting.
  • Minimal complications.
  • No limitations of future treatment options.
  • Can be revised if required.
  • Rapid recovery.

TIF patients report improved quality of life and alleviation of symptoms. Many patients no longer rely on acid reflux medication following surgery.


You will be under general anesthesia and asleep during the procedure, which takes less than an hour. Typically, patients are able to go home the following the day. Patients are able to resume work and most normal activities within several days. Discomfort in the stomach, chest, nose and throat is common for 3-7 days after the procedure.

It is critical that patients comply with their surgeons’ recommendations to allow for proper repair and healing. Retching, vomiting or excessive physical activity within approximately 1 month following surgery may adversely affect repairs. It is recommended that patients follow a modified diet.

TIF is a relatively safe procedure. Long-term complications tend to be minimal among TIF patients.


TIF may be the right option for patients with the following concerns:

  • Frequent discomfort from symptoms.
  • Limited success with pharmaceutical therapies.
  • Concern with the adverse long-term effects of taking PPIs.
  • Concern with the complication rates, mortality rates, and potential side effects (e.g. bloating, dysphagia, inability to vomit) of laparoscopic antireflux surgery.