Surgical procedures to suppress acid production once widely practiced are happily now mainly of historical interest thanks to PPI drugs and earlier investigation of symptoms with endoscopy. Surgical correction of Hiatus Hernia and procedures to prevent acid reflux are commonly performed throughout the western world where symptoms persist despite optimum drug therapy and lifestyle modifications.
The emergency surgical treatment of complications of these conditions is required less commonly as a result of effective early treatment but uncontrollable bleeding and perforation normally require the prompt attentions of a general surgeon.