Ive had a hiatal hernia for 12 years lately im throwing up everything that i eat, having problem breathing until i throw up should i get surgery ??

If your doctors think fixing the hernia would relieve you of these symptoms, then the surgery is likely worth it. You need to weigh the risks of the procedure for you against the benefits. If the benefit of relief of symptoms is higher than the surgical risks, then getting it done is likely the decision you’d make. See your surgeon to have these discussions. Good luck!

Generally, symptoms related to a hiatal hernia can be controlled using medications, but if they worsen to the point of not being able to be controlled, surgery can sometimes be a valid option. You should see your doctor to optimize your medical regimen first. If that does not work, then a surgical opinion might be useful. Good luck.