<prompt> A 35 years old lady presented with retrosternal burning pain, epigastric pain and regurgitation for 6 years. The most preferred treatment option is:Lifestyle modificationDouble dose of PPILaparoscopic Nissens fundoplicationDietary modification  <response>: Retrosternal Burning pain Epigastric pain Regurgitation TRIAD - GERD Dx- 24 hrs pH monitoring DEMEESTERS Score 14.7 Normal GERD 14.7 Sx Mx - Life expectancy 10 years Laparoscopic Nissens fundoplication Gold standard treatment of GERD other tt options- Lifestyle modifications: Cessation of smoking Decrease caffeine intake Avoid large meals just before lying down Drugs for symptomatic improvement - Double dose of proton pump inhibitor 