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Cedars-Sinai is one of only a handful of centers nationwide that offers an incision-free procedure to address severe acid reflux disease. The surgery treats the underlying anatomical cause of gastroesophageal reflux disease by repairing the body’s natural barrier to reflux. During the procedure, known as transoral incisionless fundoplication, an endoscope outfitted with a tiny sewing machine is passed through the mouth to the stomach and is used to repair a weakened valve that is allowing stomach acid to pass into the esophagus, causing the disease and making the esophagus vulnerable to damage. This technique allows patients to recover more quickly, with less pain and swelling, compared to traditional or laparoscopic procedures.