“…5,7,16,17 The reason for choosing the Thal fundoplication was because the Thal is a partial wrap, it is widely performed and was reported to be a simple and safe operative treatment for GOR in children with fewer perioperative complications and better long-term outcomes. 18,19 In this study, we observed a significantly higher rate of "absolute" failure after a Thal fundoplication (15.9%) compared with a laparoscopic Nissen fundoplication (5.9%). At the time of revisional surgery there were 6 pure wrap failures in the Thal group compared with 2 in the Nissen group, 5 hiatus hernias in the Thal group compared with 2 in the Nissen group, and 1 additional "functional" wrap failure in the Thal group necessitating the need for a second antireflux operation.…”