Someone I know has been diagnosed with this (dont know which type, paraesophageal, or sliding). He had symptoms of GERD, and later had difficulty swallowing. Apparently, the surgeons decided that it needed treatment. They "wrapped his esophagus" as part of the surgery, and he has had 3 separate surgeries. 1) Is it normal to require 3 surgeries to fix a hiatal hernia? I was under the impression that these are easily fixable by laparascopy. 2) What is "wrapping the esophagus"?