Statement 22: Anti-reflux surgery can be recommended as an alternative to proton pump inhibitor maintenance therapy to improve symptoms and quality of life in patients with proven gastroesophageal reflux disease.      Level of evidence: moderate      Strength of recommendation: weak      Experts’ opinions: agree strongly (22.2%), agree with some reservations (60.0%), undecided (15.6%), disagree (2.2%), and disagree strongly (0.0%)