No Referral Required

TIF Procedure

Transoral Incisionless Fundoplication

Minimally Invasive procedure that repositions and reconstructs the antireflux valve.

No Referral Required

What is a TIF procedure?

TIF is a minimally-invasive 2.0 procedure that is designed to reposition and reconstruct a durable anti-reflux valve while also tightening the Lower Esophageal Sphincter (LES) to restore the body’s natural protection against reflux. This procedure is performed endoscopically through the mouth.

Benefits of TIF procedure:

Is this procedure right for you?

What to Expect


A few days leading up to your procedure a doctor or nurse will contact you and explain the process thoroughly. A few hours before your procedure you will have to refrain from eating and drinking. This procedure is performed inside your stomach, so you do not want any food, liquids or medications to be inside. If there is any undigested food or medication in your stomach, you risk your procedure being rescheduled or canceled.


This procedure is performed under general anesthesia and takes roughly an hour to complete. The doctor will use the EsophyX device to repair the valve. The EsophyX device will enter slowly through the mouth, then into the esophagus and finally into the stomach. The doctor will then be able to see inside the stomach and will be able to reconstruct the anti-reflux valve.


After the procedure is over, most patients return home the same day and can resume ordinary activities. TIF patients often expect a faster recovery because there is no internal cutting. Patients may experience minor discomfort in their shoulder, stomach, chest, nose, or throat. This could last up to three to seven days after the procedure. There are no long-term side effects that are commonly associated with traditional anti-reflux surgery. Your doctor may prescribe specific medications to help manage any of your pain or discomfort.

Providers Who Perform TIF

Dr. Madhusudan Sunkavalli
Dr. David T Palma
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