It seems that how long and difficult it is to get the surgery with LPR symptoms depends upon how enlightened your GI doc is, as he/she will be your gateway.
You will need to jump through lots of hoops before the surgical option is offered, and in many cases it will require a lot of effort on your part. That said, it's all worth it in the end.
I had horrible lungs for 6 years before I finally was passed off to a surgeon by my GI doctor. My problem was that the 24hr PH monitor scores I had were quite low. My PCP and allergy/asthma docs who knew me best, were certain that the reflux was making my asthma uncontrollable. The GI doc didn't buy it, and told me that my reflux wasn't causing the problem. My asthma doc said that GI docs don't really understand how a very small amount of reflux can create havoc in the lungs.
You'll need to try all kinds of PPIs (BTW, research shows that people with LPR need 24hr coverage, so need a two-times a day dosage.), change your diet, elevate the head of your bed, and get tested with: barium swallow, endoscopy, 24hr PH monitor, manometry, and sometimes, a stomach emptying test.
While the GI doc is the ultimate decider, I'm certain that the patient's advocacy does make a difference. My PCP worked hard to get my GI doc to recommend surgery. If I'd been more confident about the surgery and had pushed as well, I believe that the GI doc would have acted sooner.
Hang in there...it's tough, but there are answers out there.
Nissen Fundoplication 2/09
"Whatever you fight, you strengthen, and what you resist, persists.”
“Worry pretends to be necessary but serves no useful purpose”
“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”