Hi, I was recently diagnosed with a medium sized hiatal hernia, a friable esophagus that after being biopsied shows pre-malignent cells and on top of everything else, gastroparesis. I have been doing some research and while I totally understand that GP is extremely hard to treat (I do not have diabetes) a pace maker only stands a 50/50 chance of working or there are meds out of Canada that I could try... I did find a few accredited articles stating that having the hiatal hernia corrected could relieve some of my GP symptoms and even reduce the risk of my pre-cancerous cells turning into anything more concerning. My doctor mentioned that IF I could find a surgeon willing to do the *pace maker* surgery and IF my insurance covers it, he doesn t see a problem with moving forward with that route. However, if a hernia correction procedure is less invasive and could also ease my GP symptoms along with my hernia symptoms etc, doesn t that seem like the more logical route to approach? I am having one final test done in a few days to check the motility and strength of my esophagus. If it shows that it is a s weak as my doctor feels it is, what would be my best option to proceed? I am just feeling a bit overwhelmed with so many issues jumping out at me all at once and I am trying to organize my best, safest and most effective ways to approach it all. Any advice is appreciated. Thank you so much!