1.) Gastroesophageal Reflux Disease ( GERD ) and Heart Burn.....Concepts .. Acid and Alkali .. Protection Against Reflux .. Presentation .. Management .. Diet .. Head Elevation .. Smoking .. Drugs .. Prokinetic Agents .. Complications .. Treatment of Stricture .. Maintenance Therapy .. Failure of Medical Therapy .. Surgery is Always the Second Best .. Indications for Surgery .. Success of Surgery .. Medical Versus Surgical Treatment .. Non-Surgical Endoscopic Technique .. Conclusion