Clinic Timings Peshawar: Mon–Fri 2–7 PM Lahore: Sat 9 AM–4 PM Islamabad: Sun 9 AM–4 PM Khattak Medical Center, Dabgari Garden, Peshawar
Thoracic Surgery

Surgery for Hiatus Hernia and Diaphragm Conditions in Peshawar

When the stomach slides up through the diaphragm, acid reflux follows and medication may stop controlling it. Dr. Muhibullah Dawar performs laparoscopic hiatal repair and fundoplication, and repairs diaphragmatic defects.

Written and reviewed by Dr. Muhibullah Dawar, FCPS (General Surgery) Last updated 2026-09-07

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Key takeaways: Hiatus Hernia and Diaphragm Conditions

  • Medication first, and for good reason — Most reflux is well controlled on acid-suppressing medication. Surgery is for reflux that persists despite proper treatment, for a large hernia, or for someone who does not want a lifetime of tablets — after endoscopy has confirmed the picture.
  • You may need assessment if — Heartburn most days despite regular medication.
  • Assessed and performed at Advance Surgery Clinic, Dabgari Garden, Peshawar.

What is hiatus hernia surgery?

The esophagus passes through an opening in the diaphragm called the hiatus. In a hiatus hernia that opening has widened and part of the stomach slides up into the chest, which weakens the valve mechanism that normally keeps acid down. The result is reflux — heartburn, regurgitation, an acid taste, sometimes a chronic cough.

Repair is done laparoscopically. The stomach is brought back down into the abdomen, the widened hiatus is narrowed with sutures, and a fundoplication is performed — the upper stomach is wrapped around the lower esophagus to recreate a valve. Diaphragmatic defects from injury or present since birth are repaired on the same principles.

Assessed before any treatment is recommended.

You may need assessment if

  • Heartburn most days despite regular medication
  • Regurgitation of food or acid, particularly lying down
  • A chronic cough, hoarseness or a sore throat caused by reflux
  • Food sticking, or pain on swallowing
  • A large hiatus hernia found on endoscopy or barium study
  • Chest symptoms after an injury involving the diaphragm

An early assessment is what keeps the options open.

Questions before booking?

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FAQs

Frequently asked questions

The questions patients ask most often before booking this procedure.

No. Most reflux is well controlled with medication and lifestyle changes. Surgery is considered when that stops working, when the hernia is large, or when you would rather not take medication indefinitely.

Yes, in time. Diet moves from liquids to soft food to normal over about four to six weeks as the swelling around the wrap settles.

It can recur, particularly with a large hernia or with heavy lifting and weight gain afterwards. Following the post-operative advice reduces that risk.

Yes, in most cases. Laparoscopic repair is the standard approach for this operation, and whether it suits you is decided after assessment.

Dr. Muhibullah Dawar

Dr. Muhibullah Dawar

General, Laparoscopic, Thoracic and Laser Proctologist

FCPSGeneral Surgery
FellowshipLaparoscopic Surgery, CMH Rawalpindi
FCPS-IIThoracic Surgery, CMH Rawalpindi
Advance Surgery ClinicDabgari Garden, Peshawar
Medical references
NHS — Hiatus hernia NHS — Heartburn and acid reflux
Related procedures
Diseases of the Esophagus and Stomach Diseases of the Airways Lung Conditions Chest Wall Deformities Pleural Effusion and Empyema Lung Resection All Thoracic Surgery
Medical disclaimer

This page describes a procedure in general terms so patients know what to expect. It is not medical advice and cannot replace an examination. Whether a procedure suits you, and what your recovery looks like, depends on your diagnosis, imaging, general health and how you respond to treatment — which is why every plan is made in consultation.

If you have severe abdominal pain, heavy rectal bleeding, a hernia that has become hard and painful, or sudden difficulty breathing, seek urgent care rather than waiting for an appointment.

Get reflux that will not settle assessed

Book a consultation with Dr. Muhibullah Dawar for assessment, diagnosis and a treatment plan explained in plain language.

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