Are the surgical options safe for GERD?

Hello doctor,

I am 36 years old and have been suffering from severe heartburn and acid reflux for the past two years, which has significantly impacted my quality of life. The burning sensation in my chest is so intense that it often wakes me up at night, and at times, it feels like I am having a heart attack. I have tried elevating my head while sleeping, avoiding spicy foods, and not eating before bed, but nothing provides consistent relief. The proton pump inhibitor prescribed by my doctor helps somewhat, but I have read concerning information about long-term use, including risks of bone fractures and kidney problems. I am already at risk for osteoporosis because my mother has it. The constant acid taste in my mouth is both uncomfortable and embarrassing. I am always chewing gum or using breath mints. I work in sales and worry that clients notice my bad breath during meetings. The regurgitation is the most distressing symptom—sometimes food comes back up into my throat, especially when I bend over or exercise. I have had to stop doing yoga because certain positions trigger symptoms. My voice has become hoarse, and my throat always feels irritated. I am increasingly worried about developing Barrett’s esophagus or esophageal cancer, especially since my uncle had it. Should I have an endoscopy? Are there surgical options that could provide a cure? I am tired of living with constant discomfort and the dietary restrictions that make social eating nearly impossible.

Please help.

Thank you.