Transoral Incisionless Fundoplication (TIF)


Transoral incisionless fundoplication (TIF) is a minimally invasive, non-surgical procedure that corrects a weakened esophageal sphincter, which causes chronic gastroesophageal reflux disease (GERD). Hoag’s skilled physician team offers TIF as a treatment option for patients suffering from GERD symptoms.

The TIF procedure is performed entirely within the stomach under full visualization with an endoscope, and requires no incisions. During a procedure, a patient is placed under general anesthesia and an endoscope, a thin, flexible imaging device, is gently guided into the mouth, down through the esophagus, to the stomach. The device allows the physician to use preloaded, non-absorbable suture-like fasteners to reshape and reinforce the lower esophageal sphincter, and restore the body’s natural barrier to reflux.

Do I have GERD?

Take Hoag’s free, 5-minute online assessment to evaluate your risk of acid reflux and GERD

The Benefits of TIF

  • Minimally invasive, without incisions
  • Quicker recovery (when compared to traditional nissen fundoplication)
  • No increased problems swallowing or burping
  • No Dysphasia
  • No gas bloat


Who Qualifies for TIF?

TIF is appropriate for individuals with GERD, who have tried yet found little to no reprieve or symptom relief from daily PPI’s/medications that have also been reported to cause long-tern health side effects, or who do not wish to be on long term PPI medications. It is also for individuals with long term complications due to their GERD like a pre-cancer condition called Barrett’s esophagus.

TIF is covered by some insurance carriers. Please check with your insurance plan to review coverage options.


The Team

Hoag expert physician team includes advanced endoscopists, gastrointestinal and thoracic surgeons, gastroenterologists, trained nursing staff and professional clinicians all working together to ensure the best possible care and treatment plan for you.

We encourage you to speak with your physician to determine the best treatment plan for your chronic GERD.

Need to contact us?

Hoag Digestive Health Institute