Transoral Incisionless Fundoplication (

TIF® Procedure

TIF Procedure for Reflux


TIF® (Transoral Incisionless Fundoplication) medical procedure

can effectively treat the root cause of moderate to severe GERD and fills the treatment gap between pharmacological therapy and more traditional invasive surgical options.

The TIF procedure is not performed through an incision, but transorally. With this technology, the anti-reflux valve at the gastroesophageal junction is restored to proper valve function. The procedure generally takes less than one hour, and most patients can return to normal activity within 1-3 days. Clinical studies show that 80% of patients remain off daily PPIs at three years following the procedure. Importantly, the TIF 2.0 procedure has repeatedly been proven to avoid post-fundoplication symptoms such as gas bloat, flatulence, dysphagia, and diarrhea.


The TIF Procedure is a good solution for moderate to severe GERD patients who are:

  • Dissatisfied with pharmaceutical therapies and the burdensome lifestyle changes (sleeping, eating, etc.) that they are forced to make to manage symptoms
  • Suffering from non-acid symptoms of reflux such as asthma, persistent cough or sore throat
  • Dissatisfied with progressively increasing dosages of their reflux medications that may or may not be controlling symptoms
  • Concerned about the potential long-term side effects from dependence on proton pump inhibitors


For patients with a hiatal hernia > 2cm, a concomitant laparoscopic hiatal hernia repair may be performed immediately preceding the endoscopic TIF Procedure.

Below is a short animation reviewing GERD, followed by another animation that gives an overview of the TIF procedure.


TIF Procedure

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Dr. Anthony Pozzessere specializes in performing diverticulitis surgeries using the laparoscopic method which calls for small, precise incisions to be made at the operating site. Being committed to patient-centered care, Dr. Anthony prefers to adopt those methods which will cause minimum disruption to a patient’s life, and which will help them recover as quickly as possible after TIF surgery.