Very frustrated - Doctor says I can only get a Dor Fundoplication

I've been having bad GERD for over 5 years, with the past year being the worst, by far. Long story short, I talked to my surgeon, who basically recommended a hiatal hernia fix, plus a Toupet. The Toupet recommendation was because I had a manometry 4 years ago that indicated that I have weak peristalsis. He ended up wanting me to do a couple more tests to confirm things (second manometry and barium swallow).

I ended up doing both tests (as hard as the manometry was). Ultimately, my gastroenterologist (not surgeon) is telling me that he's recommending to my surgeon that I just get the Dor fundo + HH fix. He said that my peristalsis is a little worse than it was at my last manometry; also, I don't have achalasia, as confirmed by both tests.

What's frustrating is that I don't have ANY dysphagia or swallowing problems!! I eat and drink just fine. I'm concerned that a Dor fundo. will not be effective enough for me, as I feel like my reflux is pretty bad. I've been waiting a long time for this surgery, and have done many, many tests. I was really counting on this surgery to help get me out of the rough spot that I'm in.

Thanks for the reply. The Toupet would actually be good - that's what I wanted all along. The problem is that I think that the Dor will be the only thing offered by my surgeon after these new tests, and given my severity of reflux, I'm not sure that it will be good enough.

Your surgeon should make the ultimate decision, not the gastro doctor.