Laparoscopic Nissen Fundoplication shows better control of GERD in patients with Type I Hiatus hernia than PPI with the added benefit of control of BMI:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442091/

See list of long-term effects associated with PPIs:
https://www.iersurgery.com/content/why-choose-surgery-for-gerd-or-acid-reflux

Laparoscopic Fundoplication is a safe and effective method to control GERD with associated Hiatus hernia:
https://journals.scholarsportal.info/details/24557420/v07i0002/64_misfgrcswrol.xml