Is a procedure for those who have recurrent symptoms after previous Nissens fundoplication. The patient will need a reassessment via scope and xrays. This procedure is also done via a Laparoscopic approach. Doctor takes down the old operation and starts full redo lap Nissen is done. The patient may need a mesh. The risks of bleeding and bowel injury is higher and the patient will have a drain insitu. A post op X-ray is done to assess the operation.