Hiatus Hernia Repair Sydney

A hiatus hernia occurs when part of the stomach moves into the chest, often contributing to reflux symptoms such as heartburn or regurgitation.

While many cases are mild, persistent symptoms may require further assessment and, in some cases, surgical treatment.

Hiatus Hernia Surgery – Specialist Assessment and Repair in Sydney

A hiatus hernia is a common condition where part of the stomach moves into the chest, often contributing to reflux (GORD), chest discomfort, and difficulty swallowing.

While many patients manage symptoms with medication, some continue to experience persistent reflux or require long-term treatment. In these cases, a hiatus hernia may be the underlying cause.

Although medications can reduce reflux symptoms, they do not correct the underlying anatomical problem, and symptoms may persist or return over time.

Specialist assessment can help determine whether surgical repair is appropriate, particularly when symptoms are ongoing or related to anatomical changes.

Dr David Joseph is a Sydney-based specialist general surgeon with expertise in minimally invasive laparoscopic hiatus hernia repair, providing tailored assessment and treatment for patients across Sydney and surrounding areas.

Call 02 9565 5514 to book a consultation. Urgent appointments are available.

What Is a Hiatus Hernia?

The hiatus is the opening in the diaphragm through which the oesophagus passes before connecting to the stomach. A hiatus hernia occurs when the upper part of the stomach protrudes through this opening.

Types of hiatus hernia include:

Sliding Hiatus Hernia

The most common type of Hiatus Hernia; the stomach and lower oesophagus slide into the chest.

Paraesophageal Hernia

Less common but more serious; part of the stomach pushes beside the oesophagus.

Hiatus hernias can cause or worsen reflux symptoms, chest pain, and in severe cases, difficulty swallowing or complications such as oesophagitis.

Symptoms of a Hiatus Hernia

Not all hiatus hernias cause symptoms. When present, common symptoms may include:

• Persistent heartburn or acid reflux

• Regurgitation of stomach contents

• Chest discomfort or pressure

• Difficulty swallowing

• Belching or bloating

• Shortness of breath in severe cases

Many patients with a hiatus hernia also experience reflux. Learn more about Reflux (GORD) treatment and when surgery may be considered.

Hiatus Hernia and Reflux

A hiatus hernia is one of the most common underlying causes of chronic reflux (GORD). When the stomach moves into the chest, the normal anti-reflux barrier is weakened, allowing acid to flow back into the oesophagus.

For patients with persistent reflux, identifying and treating a hiatus hernia may be an important part of long-term management.

When to Consider Hiatus Hernia Surgery

Surgical repair may be recommended if:

• Reflux symptoms persist despite medication

• Long-term medication is required

• A large hiatus hernia is present

• Difficulty swallowing or chest discomfort develops

• There is risk of complications such as obstruction or strangulation

• Symptoms significantly affect quality of life

For selected patients, surgical repair can significantly improve reflux symptoms and reduce reliance on long-term medication.

Laparoscopic hiatus hernia repair aims to restore normal anatomy, tighten the hiatus opening, and reduce reflux. Dr David Joseph provides hiatus hernia surgery in Sydney using minimally invasive laparoscopic techniques.

Specialist assessment helps determine whether symptoms are related to a hiatus hernia and whether surgical treatment is appropriate.

Laparoscopic Hiatus Hernia Repair

Dr David Joseph specialises in minimally invasive laparoscopic repair, which offers smaller incisions, reduced post-operative pain, faster recovery, and shorter hospital stay.

The procedure involves repositioning the stomach into the abdomen, repairing the diaphragmatic opening, and, when appropriate, performing a fundoplication to strengthen the lower oesophageal sphincter.

Patients with reflux related to a hiatus hernia may require combined repair and reflux surgery. Learn more about fundoplication surgery in Sydney.

Recovery After Hiatus Hernia Surgery

Typical recovery highlights include:

• Overnight or short hospital stay depending on complexity

• Gradual return to normal diet over 2–4 weeks

• Light activities within days; full activity in 4–6 weeks

• Follow-up consultations to monitor healing and symptom resolution

Patients often experience significant reduction or elimination of reflux symptoms following surgery.

Hiatus Hernia Repair in Sydney

Dr David Joseph consults from his clinic in Newtown and also offers Telehealth consultations where appropriate. He operates at leading private and public hospitals across Sydney, including:

• Prince of Wales Private Hospital in Randwick

• Mater Hospital in North Sydney

• East Sydney Private Hospital in Woolloomooloo

• Royal Prince Alfred Hospital in Camperdown / Newtown

• Concord Hospital in Concord

This allows patients from the Eastern Suburbs, Inner West, North Shore and surrounding Sydney regions to access expert surgical care close to home.

Call 02 9565 5514 to book a consultation with Dr David Joseph. Urgent appointments are available.

Why Choose Dr David Joseph for Hiatus Hernia Repair in Sydney?

• Specialist general surgeon with advanced laparoscopic expertise

• Comprehensive preoperative assessment and personalised surgical plan

• Focus on minimally invasive techniques for faster recovery

• Access to major private and public hospitals in Sydney

• Coordination of care for reflux, GORD, and associated upper GI conditions

Dr Joseph is a fellowship-trained specialist Upper GI surgeon.
Learn more about Dr David Joseph →

Frequently Asked Questions

What is the difference between a hiatal hernia and reflux?
A hiatal hernia is a structural abnormality where part of the stomach moves up through the diaphragm into the chest. Reflux is the backward flow of stomach acid into the oesophagus. A hiatal hernia can contribute to reflux but may also be present without symptoms. Dr Joseph can assess your condition and determine the best treatment in Sydney.

How long is recovery after hiatus hernia surgery in Sydney?
Most patients stay 1–2 nights in hospital. Light activity can usually be resumed within days, with full recovery in 4–6 weeks. Diet is gradually progressed, and follow-up visits monitor healing and symptom improvement.

Is laparoscopic hiatus hernia surgery safe?
Yes. Minimally invasive (laparoscopic) surgery is associated with smaller incisions, less pain, faster recovery, and lower complication rates compared with traditional open surgery. Dr Joseph performs these procedures safely in Sydney hospitals.

Will my reflux improve after hiatus hernia repair?
Most patients experience significant improvement or complete resolution of reflux symptoms, particularly when a fundoplication is performed alongside hernia repair. Dr Joseph will advise if fundoplication is necessary for your case.

What is fundoplication and when is it needed?
Fundoplication is a procedure where the upper part of the stomach is wrapped around the lower oesophagus to strengthen the valve and prevent acid reflux. It is often performed at the same time as hiatus hernia repair to reduce reflux symptoms and improve long-term outcomes.

Do I need surgery immediately?
Not always. Surgery is recommended based on symptom severity, hernia size, and associated risks. Dr Joseph provides a personalised assessment to determine the timing and urgency of surgery.

Where is hiatus hernia surgery performed in Sydney?
Dr Joseph operates at private hospitals in Randwick, North Sydney, and Woolloomooloo, and public hospitals in Camperdown (RPA) and Concord. The hospital choice can be discussed during or following your consultation.

Are there risks or complications with hiatus hernia repair?
All surgery carries risks, including infection, bleeding, difficulty swallowing, or reflux recurrence. Serious complications are uncommon when performed by an experienced Sydney surgeon like Dr Joseph.

What pre-operative tests are required?
Patients usually need a referral from a GP or specialist. Pre-operative tests may include endoscopy, ultrasound, or CT scan, as well as routine blood tests, to ensure you are fit for surgery.

What lifestyle or diet changes are recommended after surgery?
Patients are advised to gradually progress diet, avoid large meals initially, and follow Dr Joseph’s advice on weight management and reflux reduction. Lifestyle changes help maintain surgical results and improve long-term outcomes.

When should I see a Sydney surgeon for hiatus hernia symptoms?
Seek evaluation if you experience persistent reflux, chest discomfort, difficulty swallowing, vomiting, or obstruction. Early assessment by Dr Joseph can prevent complications and determine if surgery is needed.

How does insurance and costs work for hiatus hernia surgery?
Medicare rebates and private health insurance coverage are discussed during consultation. Costs vary depending on the hospital, type of surgery, and individual patient factors. Dr Joseph’s team provides guidance to help you plan financially before surgery.

CLICK HERE for information about Reflux (GORD).