I've been on two medication (PPI) for 19 years. I developed my HH while pregnant with my first child. And I get an upper and lower GI done once a year due to the damage from my HH. Each time I have polyps that need to be tested, etc. The surgery to have my HH was suggested and when I told my PCP, he's the one who suggested having WLS at the same time. But bc the stomach is reduced with the sleeve the acid is pushed back up more often... so for me I'm not really sure how it will all work out... I can't imagine the reflux pain being worse but I was really hoping to fix that all together.... since my objective is to heal my esophagus and get off the medications bc they are not good long term either. So to answer your concern, my doc says I will remain on my medication after surgery and take me off one at a time, see how I do and then take me off the other. Fingers crossed... I'll be off them for good! 😉