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Introduction: The short-term results after laparoscopic fundoplication have been promising. We performed a survey four to seven years after laparoscopic antireflux surgery that included 90 of 100 patients eligible for a survey. They were sent a questionnaire with simple questions about their satisfaction with the surgical procedure, as well as the presence of gastro-oesophageal reflux disease (GORD)-related symptoms, side effects and complications. Materials and methods: Satisfaction with the surgical procedure was determined using a score of: 1. Very satisfied or acceptable; 2. Unacceptable; or 3. Uncertain. GORD-related symptoms and side effects were ranked in five grades of severity. Patients with persisting symptoms of GORD or symptoms indicating procedure-related problems were called in for an interview and offered a gastroscopy. Results: Eighty-six percent were satisfied with the results of the surgical procedure or considered it acceptable. Ninety percent had no or only occasional heartburn. 5% suffered regurgitation at night and at work and 6% after meals. Swallowing difficulties were a problem for 6%, who could eat only soft meals. Gas bloat and flatulence were major problems for 40% and 73%, respectively. Discussion: Laparoscopic fundoplication gives excellent control of GORD symptoms after four to seven years. 90% of patients have no or only occasional heartburn and 95% no acid regurgitation, and 86% remain satisfied with their decision to undergo surgery. Gas bloat and flatulence, however, are major problems, reported to be responsible for patients' regretting having had surgery. Patients with pathological reflux demonstrated by pH measurement preoperatively achieved the best symptom control and were most satisfied with the outcome. Demonstration of esophagitis by endoscopy had less convincing predictive value for a good result.

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