Reflux disease can present itself with minor symptoms ranging from occasional heartburn to more severe symptoms that can lead to life-threatening esophageal cancers. Frequently, many patients are treated medically with varying results. Not uncommonly, some patients become refractive to the medical therapy or for various reasons, cannot afford or are non-compliant in taking their medications. These are just some of the reasons why individuals would qualify as candidates for minimally invasive surgery for this condition. Together your family doctor and the surgeons here can recommend which tests may be needed and whether or not an operation would be of benefit to you.