With advances in laparoscopy, GERD is usually treatable without the need for lifelong medication. Patients may return home free from symptoms of GERD and off medications permanently. LNF has proven to be safe and effective when performed by a surgeon who is skilled in advanced laparoscopic procedures and esophageal anatomy. Utilization of the team approach is critical in managing these patients. From preoperative testing to postoperative follow-up care, nurses play key roles in the management of patients with gastroesophageal reflux.