Stephen ,-- you sound to me like a candidate for the Linx. They would also correct the hernia at the same time. Have you done all the other things,-- such as elevating the head of your bed, stop eating several hours before bedtime , give up coffee , beer, carbonated drinks, acid type foods like tomato, chocolate etc. Take aloe,- like George Brand. You probably had a barium swallow test ? Maybe time to see surgeon experienced in fundoplication and Linx for an opinion. You will find out if you are a candidate from surgeons point of view. (I don't think they would try to talk you into it.). They look at things from a different perspective. ( these are only my thoughts ). B T W. the Linx can be taken out and that is a good point in my view.