How does one make the decision to have surgery (toupet fundoplications) when your quality of life is poor with the condition (constant reflux acid despite diet & meds) but you don't want it to be worse (risk for dumping syndrome, swallowing issues)?

Surgical assessment: Bariatric surgeons have risk-benefit analyses that attempt to make decisions on who will benefit from bypass surgeries, but findoications are much more if a complex decision process. Quality of life is the main motivating factor, but insurance coverage is a whole different ballgame. Base your decision on your quality of life with your surgeon, realizing you may have to pay a lot of out of pocket $