Glad you found a new GI doc, and I hope he/she does a better job of communicating with you. You have the opposite problem from the one I had. I couldn't get a GI doc to recommend surgery, when I badly needed it. I had no esophageal irritation, and my 24hr PH monitor results were very unimpressive. That said, my asthma and regular doctors were struggling with my uncontrolled asthma, and knew that reflux was the culprit. Finally, after years of very sick lungs, my GI doc finally decided that perhaps it didn't take very much reflux to inflame my lungs, and recommended that I either continue to treat my reflux with meds (come on...they weren't working, and I'd been on them for years), or visit the surgeon he recommended, which I did.
Long story short, surgery was just what I needed, and after my lungs healed post-op, they because healthy again. If you do end up needing the surgery, you shouldn't worry about it. Just be sure you find an excellent surgeon who is experienced in doing Nissens. The recovery is much, much easier than i'd ever imagined, and any inconveniences that the surgery creates in your upper GI tract are well worth it for the improvement in your quality of life.
Glad to have you join the ranks of Healing Well. Stick around, and if you have any questions after your visit to the GI doc, we'll do our best to answer them. It'll be interesting to hear what your new doc has to say. Good luck! Be sure to take a list of questions, so you don't forget what to ask!