Surgery Without an Incision – Now That's a Medical Advance! Transoral Incisionless Fundoplication (TIF) surgery is a treatment for chronic reflux that doesn't involve an incision. By Emory Johns Creek Hospital (Patch Poster) - Updated September 13, 2011 9:24 pm ET. by Emory Johns Creek Hospital/Special. It’s being called the next step in the evolution of surgery. Surgery without an incision doesn’t even sound like surgery, but for the 60 million people in the United States who suffer from Gastroesophageal Reflux Disease (GERD) or chronic acid reflux, it’s a new treatment option they can get excited about.