Inclusion Criteria:  BMI from 30 to 50 kg / m2. Gastroesophageal reflux diseases The person is generally fit for anesthesia (ASA grading 1-2) and surgery. The person commits to the need for long-term follow-up.  Exclusion Criteria:  BMI less than 30 kg / m2 and more than 50 kg / m2. Prosthetic (mesh) hiatal herniorrhaphy or large hiatal hernia; Esophageal shortening Los Angeles Classification of Oesophagitis (LA grade) C or D reflux esophagitis History of surgery on the stomach or esophagus Less than 18 or more than 60 years of age Not fit for bariatric surgery Psychiatric illness Patients unwilling or unable to provide informed consent