Acid getting worse

If acid is your problem, PPIs would help.

If it's reflux that's the problem, lifestyle modification may work. (PPIs just make the reflux less dangerous. )

If lifestyle modification isn't working, surgery is the option. I don't know where you read that a lot of them don't work. A study published in Surgical Endoscopy in 2014 reviewed the durability of Laparoscopic Fundoplication over 20 years and concluded, "Long-term results from the early experience with LF are excellent with 94 % of patients reporting only occasional or fewer reflux symptoms at 20-year follow-up."

You'll find this linked to from the "Nissen fundoplication section of the fundoplication chapter in the reflux section of the free book / webiste, www DownWithAcid org uk

There have been studies that show LNF may well be cheaper than lifetime PPI. It's certainly available on NHS (where I had mine done) .

"Alternatives" like ACV won't reduce reflux.

HI have you tried taking gaiscon before you lie down at night also don't drink or eat anything for at least two hours before going to bed and eat a healthy diet

In my early fifties I was initially & correctly diagnosed with a Hiatus Hernia being the cause of significant reflux, and put on various antacid drugs which quickly proved to be of no benefit. It was at that point that I sought a surgical solution as the only alternative for what was for me a very distressing illness. Over the next 5 years I pursued that Nissen Fundoplication with visits to one consultant after another (part of a full total of 66 medical appointments) but each dismissed my symptoms as 'unproven' making me feel like a complete fraud. My own GP practice, too, were hopeless and increasingly rather insulting. The problem, as I soon came to realise, is that subsequent 'opinions' are often nothing of the sort, rather they are simply protracted, empty exercises whereby one colleague seeks at all costs not to contradict the opinion of another colleague - a thoroughly dishonourable process which doctors themselves refer to as 'professional etiquette'. Yet in the circumstance I found myself I had no option other than to make a real nuisance of myself and 'plug away'. Eventally, 2 years ago, I managed to get an appointment at St Thomas' in London - known to be the UK's leading authority in gastroenterological matters - and whilst it certainly wasn't all plain sailing I did eventually receive testing & diagnosis which confirmed those very first findings, and in April last year underwent surgery. For me the outcome was a total success but as you rightly point out not all results are the same. So whilst I wouldn't, then, recommend a specific way forward for you (how could i?), I would certainly suggest that you ignore any opinion your own doctor has for surgery on the basis of cost - you are entitled to such treatment, and beyond that it is none of your GP's business - and at the very least insist on being given the opportunity to discuss your FULL options with a relevant senior physician. Incidently, St Thomas' isn't in my immediate NHS area but that was not a barrier to getting me there.

Good luck. 

Esomeprazole, i dont know if you have used them, but they are much stronger than the medication i had.