This procedure, referred to as EsophyX involves the use of devices that intensify and remodel the antireflux barrier at the level of the lower sphincter valve between the esophagus and stomach. The approach to this type of surgery is through the mouth and without any cutting or incisions in the abdominal wall. The EsophyX employs a suturing and fastening system to create pleats in order the improve the lower valve function. The team at Lenox Hill Hospital was the first center in the New York City metropolitan area to offer the EsophyX TIF (Transoral Incisionless Fundoplication). The EsophyX TIF procedure is also available at other hospital affiliations that include The Langone New York University Medical Center and Beth Israel Medical Center. Working in conjunction with the developers and manufacturers of the endoscopic reflux therapy devices, we have taken the lead in the diagnosis and management of gastroesophageal reflux disease. Learn more about EsophyX!   Click for slides of procedure Click for video of procedure