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I had this surgery Oct 2007. I am pleased. I was told depending on how tight the procedure is, will determine burping, and vomiting. I am able to burp, and have not needed to vomit, but I think I would be able to. Don't be concerned over the vomiting. The doctor can give you medication for this, should you have an upset stomach. Not sure which one, but it could be phenergan. Anyway, you should talk more with your doctor over your concerns. For me, I would have had it done in a heartbeat before now, but just kept putting it off. I now have Barrett's Esophagus after 29 yrs of acid reflux. I will be rechecked every year for the Barrett's with a endoscopy test. I do know there are some people that may not able to vomit or belch afterwards but the it is the doctor's hope that you will be able to. Your doctor should be able to give you more information on that. This surgery to me is more important than the ability to vomit, since there are medications available to  deter the vomiting. I wish you the best.