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Background From the year 2017 to 2026, we have done 60 cases of laparoscopic fundoplication. Initial 1 case was Nissan’s 360* &. 57 cases with 270* Toupet’s technique. 2 cases Dor’s fundoplication along with Heller’s myotomy. The case needed re-operative surgery.270* plication is the same as 360* as it needs similar hiatal dissection, loose hiatal closure & floppy plication. It also obviates the need of intraop calibration with a bougie and also for follow-up minimal postoperative dysphasia, etc. events on follow-up.Methods At Manipal Hospital Jaipur, India, we started doing fundoplication 360* in the year 2017 for GERĐ resistant to medical treatment. We switched to 270* Toupet’s fundoplication with crural repair. Dor’s plication was done along with Heller’s myotomy only. Reason of switching was fewer chances of immediate postoperative dysphasia. 360* plication had transient dysphasia & in partial fundoplication, 2 / 57 had postoperative dysphasia 1 m and 15 days post op. One case needed lap re-operation and was found to have extensive scarring, leading to twisting needed undoing of plication: she is asymptomatic 6 months from re-operation. 1 was managed conservatively. The rest of all patients remained satisfied on average 1-3 years of follow-up based on the clinical questionnaire on visit or on phone.Limitations - We accept that follow-up with manometry and ph study was lacking, due to lack of funding for these tests. Results 1/1 360* fundoplication developed transient dysphasia, 2/57 patient of 270* fundoplication developed dysphasia due to wrap adhesion & migration,0/2 patient of Dor’s plication had dysphasia as it was combined with myotomy only. Although by numbers comparisons is not fair, the results of 55/57 cases in 270* fundoplication based on the questionnaire were satisfactory. Most patients were medication-free at 1-3 years of follow-up ( IDDF2026-ABS-0309 Figure 1. Fundoplication anatomical landmarks). Conclusions Technically better predicted operation than 360* fundoplication, clinically good results with fewer complications. Subjective assessment shows better results, but objective long-term results need to be followed up once more surgeons take up this procedure. Abstract IDDF2026-ABS-0309 Figure 1