I had a Nissen fundoplication surgery 15 months ago. It worked perfectly to control my acid reflux until three months ago. At that time I started noticing some differences in swallowing and burping (much easier) and the reflux symtoms returned. The surgeon is no longer with the medical center that I went to. Is it acceptable to try to track the doctor down at his new hospital and ask what he recommends to do about the failed surgery? I got an upper GL endoscopy and the GI who did the test noted that the wrap looked loose. A second question: if a wrap came loose and the surgeon determines that the patient is a good candidate to try the procedure again would it need to be done with a tighter wrap the second time?