In most cases, small hernias do not cause symptoms or require treatment. A large hernia may require treatment with medications or surgery.
For people with a large hiatal hernia, repair surgery is sometimes the best option when medications and lifestyle changes have been ineffective. Repair surgery initially involves pulling your stomach down into your abdomen (reduction) and can be combined with other surgeries such as those for gastroesophageal reflux disease (GERD). Based on the cause of your symptoms, your doctor may recommend one of the following additional surgical options after reduction.
Read more about hiatal hernia treatment.