Elijah is just over 5 months now and weighs over 11lb. Elijah’s has a NJ tube for feeds – he’s had it since before he came home from the NICU, do to silent aspiration. He is now ready for a more permanent feeding tube and it’s been suggested that we include a Nissen fudoplication and LADD’s Procedure well he is in surgery and already under anesthesia. I have done research, talked with my Doctor, and am now left with a decision to make – to go ahead with an invasive open full procedure ( G-tube, Nissen fudoplication, and LADD’s Procedure) or to just have the G-tube placed – with possibility of having a secondary procedure for the Nissen fudoplication, and LADD’s Procedure latter on. I have been told that it is fairly common to have these procedure done together and this is most likely the route we will take, but I’m wondering if any of the WHS families that have feeding tubes have had the Nissen fudoplication, and LADD’s Procedure done with or with out the G-tube. What suggestions would someone that has experience with the procedure have for someone considering this operation?