It's hardly 'surgery' per se Sue. It is a very small procedure, involves NO cutting. Merely placing a ring of titanium beads around the spincture via endoscopy. Heck, no more than having an actual endoscopy. And, the ring of beads can be removed. It is NOT a fundoplication surgical procedure.
And remember, those PPIs and all the reflux meds come with side effects, the longer one takes the greater the effects. Should NOT be taken for more than a few months at a time. But have posted on the FDA recommendations too many times. People must make their own, but hopefuly 'enlightened' choices!
But each to their own. Me? I prefer to want to know ALL the facts of the matter and to be aware, always. Then my decision is taken in full knowledge and then, upto me.