Transoral incisionless fundoplication (TIF)

Trans-oral incisionless fundoplication (TIF), antireflux surgery, small hiatus hernia surgery.

At The London Clinic, we provide a private transoral incisionless fundoplication service to treat gastro-oesophageal reflux disease (GORD) and hiatus hernias. Right in the heart of Harley Street, you’ll be seen by one of our world renowned gastroenterologists who will guide you from pre-op, right through to recovery.


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What is it for?

Procedure to treat GORD and hiatus hernias

Treatment overview

A transoral incisionless fundoplication (TIF) is a non-invasive procedure to repair a small hiatus hernia or prevent gastroesophageal reflux disease (GORD).

During the procedure your surgeon reconstructs your gastroesophageal valve so that acid from your stomach can no longer escape into your food pipe (oesophagus).

One of our world-leading gastroenterologists will carry out your procedure at our private state-of-the-art Endoscopy Unit near Harley Street.

By choosing The London Clinic, you’ll get a more compassionate and connected kind of care, from enhanced pre-admission through to aftercare and follow up.

Contact us today, so you can start your treatment journey and get back to the life you love.

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Why choose The London Clinic

Excellence in one place

We operate as teams of experts with world-class resources dedicated to maintaining the highest standards of medical care. You are surrounded by the latest treatments and advice with everything you need to get back to your best health.

Personal care, every time

Exceptional patient care is a way of life for us. Our nurses, clinicians and support teams are dedicated to the care of a very small number of patients, so have more time for you. They’ll be with you every step of the way, tailoring your care around you and giving the peace-of-mind that comes with knowing you’re in the best hands.

Effortlessly simple

We work together as one to guide you through each step of your experience, with complexities unravelled and answers readily to hand. Your personal treatment plan will be laid out for you, with all the details taken care of so you can focus on you.

What's included in your package?

Choosing The London Clinic means your treatment plan will be laid out for you, with all the details taken care of so you can focus on you.


Your treatment package will include:

  • Enhanced pre-admission assessment
  • Your treatment with our complete care team at your fingertips
  • Personalised aftercare and follow-up

We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recovery packages and extra touches for you to choose from during your stay with us.

How to pay

  • You can use private medical insurance (PMI) to access this treatment. We work with all major PMI providers in the UK and many internationally
  • You can pay for yourself (self-pay)
  • If you’re paying for yourself, we have finance options available with Chrysalis


At The London Clinic, you’ll get fast access to any tests, scans and treatment you need without delay.

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Book an appointment

Our dedicated appointments team will arrange for you to meet with one of our renowned consultant gastroenterologists.

Consultation and diagnosis

Due to our world-class diagnostic and testing facilities, we can perform Bravo testing (wireless PH testing) and X-ray imaging so your gastroenterologist can assess you more quickly and you can begin your journey to recovery sooner.

Enhanced pre-assessment

You’ll have an enhanced pre-assessment appointment to review your general health and fitness for the procedure and to help your care team plan your treatment for success.

The day of your procedure

You’ll meet your care team who will prepare you for the procedure and let you know exactly what to expect throughout the day.

After your procedure, your gastroenterologist will come to see you and check how you’re doing and discuss how to start your recovery.

Post-procedure care

We’ll provide you with any medication such as antibiotics and advice on what to eat. Your consultant will call to check on how you’re doing. You should fully recover after four to six weeks.


A transoral incisionless fundoplication (TIF) is a same-day, non-surgical procedure. It normally takes around 40 minutes under a general anaesthetic.

Once asleep, your surgeon gently places a thin, camera-tipped flexible tube, called an endoscope, into your stomach via your mouth.

The endoscope attaches to a specially designed instrument called a TIF device.

The TIF device allows your surgeon to hold and carefully fold tissue from your oesophagus around the tissue from the top of your stomach.

This fold is then fastened together to form a new gastroesophageal valve, which stops gastric acid from escaping into your oesophagus.

Once complete, your surgeon carefully removes the endoscope and TIF device from inside your stomach.

Because the procedure is incisionless, there are no cuts made to your skin or tissues, so there’s no need to apply any stitches or dressing.

After the procedure, your care team will take you to the recovery suite, so they can safely monitor you until you come round from the anaesthetic.

A transoral incisionless fundoplication is an advanced procedure, with an excellent safety record.

It has several advantages over laparoscopic surgery (Nissen fundoplication) including:

  • Available to a wide range of patients
  • Shorter procedure time than some surgical options
  • Non-surgical - no internal tissues are cut
  • No scars
  • Less pain post procedure
  • A faster recovery than some surgeries
  • You may be able to reduce or stop your anti-reflux medication

After the procedure you may find certain symptoms improve or disappear including:

  • Heartburn (acid reflux)
  • Burping
  • Nausea
  • Regurgitation
  • Poor sleep
  • Asthma like symptoms
  • Chronic cough
  • Hoarseness

A few weeks following the procedure you should be able to eat a normal diet and need less, or no anti-reflux medication.

Each patient is different and how long it takes to recover from your transoral incisionless fundoplication can vary.

For around the first six weeks you’ll need to follow a special diet, which your care team will talk to you about.

It’s best to try and avoid strenuous exercise in the first few weeks, or until your surgeon agrees it’s okay.

Most people find they can go back to work after a few days, depending on the type of work they do.

Because a transoral incisionless fundoplication is minimally invasive, with no surgical cutting, you should recover fairly quickly.

Apart from some minor soreness in your throat and chest area, you should feel fine a few days after the procedure.

While your new valve heals, you’ll need to be on a special diet for a few weeks, including liquid food, before you can enjoy a normal diet.

At The London Clinic, the gastroenterologists who offer transoral incisionless fundoplication are world leaders in their field.

During your same day procedure, your dedicated care team will look after you and make sure you have everything you need.

To make you feel more comfortable while you’re with us, we offer extra touches like a personalised food menu and concierge service. Once you’re ready to leave The London Clinic, we’ll give you advice to follow to make sure you recover safely at home.


Get in touch

To find out more about arranging your self-pay healthcare with The London Clinic please contact us by phone or online: