The treatment of reflux esophagitis is based on internal medicine and the commonly used proton pump inhibitors (PPI), i.e., the laparazoles: rabeprazole, lansoprazole, pantoprazole, esomeprazole, etc. The mechanism of action is to inhibit gastric acid so that the acidity of the stomach is reduced. In this way, even if acid reflux occurs, the patient’s subjective symptoms of discomfort can be relieved because the stimulating effect of acidity is weaker. Another treatment for GERD and reflux esophagitis is surgery. Surgery involves laparoscopic repair of a hiatal hernia and the addition of a fundoplication ring at the junction of the stomach and esophagus, just outside the anti-reflux barrier. In layman’s terms, this means that a “collar” is added to the junction of the stomach and esophagus to re-enforce the anti-reflux barrier. This is the main principle of laparoscopic anti-reflux surgery, which increases the resistance of the stomach contents to reflux into the esophagus. Characteristically, acidophilus medication treats the symptoms and does not inhibit reflux, but only reduces the irritation of reflux, while surgery is the cure. Surgery is the re-establishment of the weak anti-reflux barrier, which is the medical treatment of the symptoms and the surgical treatment of the root cause. Although razoles are available in ordinary pharmacies, patients using this class of drugs should always go to a regular hospital to receive formal guidance from a doctor.