Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Well, first line treatment for hiatal hernia is dietary changes. . It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. Surgery is called nIssen fundoplcation and this is done by abdominal surgeon. it can also be done laparoscopically. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.