This has been a concern of mine as well. My reflux is controlled with panteprazole (pre-surgery) but the reflux is what pushed me to do this in the first place. I have talked to my surgeon about this and he seems confident this won’t be an issue for me. He will correct a hiatal hernia if he sees one during the surgery. I had a PCP tell me once I had a hernia but it has never been scoped and never been flagged on an chest CTs I have had for other reasons. Sounds like I’ll be staying on the panteprazole for awhile I guess. I hate that pain.