Purpose-Gastroesophageal reflux disease is the commonest gastrointestinal disease which causes reflux oesophagitis and complications like ulcerations, stricture of oesophagus. Patients present with either heartburn or reflux. Current treatment would include either lifestyle changes, pharmacological therapies, surgical fundoplications and endoscopic procedures. Methods-Patients who have reflux would require medical therapy, endoscopic approach or surgery. The choice of therapy depends on symptoms of the patient. This article various treatment strategies for management of GERD. Results- Fundoplication was done in 35 patients, Slippage of wrap was found in 3 patients and 4 patients persisted with postoperative dysphagia. Conclusion- Laparoscopic fundoplication is indicated for severe gastroesophageal reflux disease, erosive esophagitis, stricture of oesophagus, hiatus hernia and is the gold standard for these conditions.