In June of 1988 the first laparoscopic cholecystectomy (gallbladder removal) performed in the United States launched a revolution in surgery. That procedure, performed by my good friend J. Barry McKernan, MD, PhD in Marietta, Georgia was the first step in moving surgery from large open incisions to the era of minimally invasive techniques. For the next twenty years surgeons have used laparoscopic techniques, with their tiny incisions, to perform a wide variety of procedures with minimal trauma and rapid recovery. But now there is a new surgical technique for treating the common problem of chronic heartburn that is performed with NO INCISIONS!