Coffey Gastropexy is a laparoscopic operation aimed at strengthening the ligaments of the stomach and creating a frame structure of the latter to protect against repeated reflux of stomach contents into the esophagus; it has been carried out in Western countries since the late 60s of the twentieth century; only in the last three decades has the number of patients More than 2 million people have undergone this operation. The obvious threat to the health of many sick people contributed to the opening of research centers to study the mechanism of development of reflux, its prevention, diagnosis and treatment. So in the USA, 7 conferences on this topic are held every 5 years. Today there is no doubt that coffee gastropesis is the most effective reflux prevention operation in adult patients today.