I had a hernia repair with my surgery too, have had no reflux until recently. I was given way too much fill at the end of April, had some taken out but asperated (sp?) before I could get back to the doctor. Tons of trouble in May thought I pulled a muscle in my left shoulder, ended up it was a bad case of acid reflux pneumonia. Going to get a little bit more out today, I woke up choking on acid stuff twice this weekend. I would have some taken out if it were me. I could have lived with my restriction but my body is saying that is too much and I don't want pneumonia again, I have never had it and it was not fun! Good luck on whatever you decide to do.