Why repeat surgery/treatment after Heller Myotomy

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Hi,I am going for my Heller Myotomy (first one, I am 38) on Monday. My surgeon told me he did not have to repeat anythign on anyone. He told me HM is not a fix, but going make things easy (eat, keep food).But in this group, I see e-mails saying people have had multiple HM, Botox, etc. I was wondering why?Do most you who report problems have had HM and still having issues?I am curious and why there is a need for repeat surgery/treatment, and what the complicaitons after the surgery. And of course, what are the suggestions to minimize any futher issues.Thank you.Rag RagR at dot com__________________________________________________