I am pleased to announce the arrival of the Endogastric Solutions EsophyX transoral (through the mouth) antireflux surgical procedure. While this is an endoscopic assisted procedure it is an incisionless, surgical procedure that most mimics a formal surgical Nissen fundoplication. The difference is that this is a Transoral Incisionless Fundoplication (a.k.a. TIF). There is no cutting! The results are encouraging from the data available with the majority of patients symptom free and off of medications that control acid production. Other endoscopic approaches have not been able to reproduce the almost circumferential augmentation of the antireflux barrier and valve at the end of the esophagus or food tube. I am very excited about this new surgical procedure that will be performed by the advanced gastrointestinal endoscopist and look forward to our own results.