The surgical technique is similar to the procedure used in treating gastroesophageal reflux and heartburn. This technique entails the wrapping of the stomach around the highest part of the stomach and esophagus. Hundreds of thousands of these surgeries have been performed and without any adverse reactions in the stomach mucosa, in and around the folds, food stasis (delayed gastric emptying), or other complications. We now know that the plication surgery has the same benign effects when performed with the modern OCC technique.