Anti-acid reflux surgery, also known as fundoplication, is a procedure to treat chronic acid reflux or gastroesophageal reflux disease (GERD), characterized by symptoms like heartburn, regurgitation, chest pain, and difficulty swallowing. Indications for surgery include persistent symptoms despite medication, severe inflammation of the esophagus, or complications such as Barrett's esophagus. The surgery involves fixing the hiatal hernia and wrapping the upper part of the stomach around the lower esophagus to strengthen the valve between the esophagus and stomach, preventing acid from flowing back up. Using the da Vinci XI Surgical System, this minimally invasive procedure is performed as an outpatient surgery, allowing most patients to go home the same day. After surgery, patients can expect a significant reduction in reflux symptoms and improvement in quality of life, with a short recovery period before resuming normal activities