GERD has been operated once and now it has recurred. A second operation can be done if the condition permits and there are no contraindications. GERD is a condition in which the contents of the stomach and duodenum flow back into the esophagus causing uncomfortable symptoms. For people with persistent reflux-related chronic cough, laryngitis, and asthma who do not respond well to proton pump inhibitors, anti-reflux surgery may be considered. Laparoscopic fundoplication is the most common surgical procedure to stop the reflux of gastroduodenal contents into the esophagus. If GERD recurs after surgery, surgery is not recommended if the time between the last surgery and the present is short; if the time is long, the condition permits, and there are no contraindications, surgery can be performed again. In order to avoid or minimize recurrence, one should avoid lying down immediately after eating in daily life; avoid eating spicy, stimulating and greasy food; and reduce weight in moderation. GERD has been operated once and now it has recurred you should go to the hospital immediately and be treated under the doctor’s guidance to avoid delaying your condition.