I had this surgery in September 2011 and just had to have it redone 2 weeks ago. The first 6 months were glorious.  I was able to eat foods I hadn't eatin in years and no reflux at all. Unfortunately my reflux burned my lungs and i have serious COPD because of it. When it started to return I didn't realize what was happening, I just knew my lungs were getting worse. I ended up having a critical care pulmonologist who basically told me he didn't know what to do because nothing was helping my lungs. I told him I was having some stomach issues and heartburn again and he sent me back to the surgeon who did my original Nissan. The surgeon was not at all happy about the fact that I was having the heartburn and sent me immediatly for the Bravo test, which came back normal. He then sent me for an upper GI, which showed a small hiatal hernia with some reflux. He really didn't want to re-do the Nissan surgery but since I was aspirating the stomach fluids and it was burning my lungs, they really had no choice. He had one of his partners in his practice re-do the surgery while he was also in attendance. I woke up with a feeding tube down my throat, which I did not have the first time. The whole experience has been dreadful. If this is what I have to look forward to in the future, I will not have this procedure re-done. The first Nissan recovery was not bad. This one, just awful. It's been two week since the surgery and I came home from the hospital on oxygen because my lungs are in such bad shape and I haven't had my first post-op visit yet, that's tomorrow. So, we will see what they say happened. I hope everyone else has better luck than I had. The vomiting, or lack there of for me, was so minimal compared to the amount of reflux and the damage I was doing. it is miserable not to be able to vomit, but the end result if you do is bad..  good luck everyone.