Hiatus hernia and gastroesophageal reflux: indications for surgery and selection of operation

It is generally agreed that no single surgical technique of repair provides adequate results under all circumstances. It is equally important to recognize that almost all conditions which complicate hiatus hernia and gastroesophageal reflux are of a benign order, and the decision for surgery is an option for the adequately informed patient. This article presents the indications for operation and the criteria for selection of open repairs. It is not a review article, but rather expresses the experience and opinions of the author.