brenda, we did not even know that sylvia had a hiatal hernia until they went in to do her fundo. for some reason, her hernia did not show up during either of her upper gi’s or during her endoscopy. the surgeon said that if it is not pushing through when they do the test, that they can’t see it. sylvia had her fundo done because of the severity of her reflux. she was anemic, failure to thrive, refluxing almost 25% of the time, and her esophagus was getting ulcerated. she was on carafate and prevacid and still having the problems. i THINK that a hiatal hernia repair always involves a fundo.