In the medical treatment of Gastroesophageal Reflux Disease (GERD), medications such as antacids, H2 blockers, and proton pump inhibitors (PPIs) are used to protect the esophagus and suppress stomach acidity. These medications must always be taken under a doctor's supervision and at prescribed dosages. In most patients, GERD symptoms can be successfully controlled with medication. Additionally, prokinetic drugs, which facilitate the downward passage of acid from the esophagus to the stomach, may also be included in the treatment. However, if symptoms persist despite medication or if complications such as bleeding, Barrett's esophagus, or stricture develop, surgical intervention may be considered. Surgical techniques aim to repair the natural barriers between the esophagus and stomach that prevent acid reflux.