A Post-Approval Study of the LINX® Reflux Management System in a prospective, multicenter, single-arm study, with patients as their own control to monitor the safety and efficacy of the LINX implant procedure and device in a post-approval environment to supplement existing safety and efficacy data.

Inclusion Criteria:

• Patient is a candidate for treatment with the LINX Reflux Management System
• Patient has provided written informed consent for participation in the post-approval study.
• Patient has indicated a willingness to comply with study requirements and the follow-up schedule and assessments.
• Patient has been diagnosed with GERD as defined by abnormal pH testing.
• Patient continues to have chronic GERD symptoms despite maximum medical therapy for the treatment of reflux.

Exclusion Criteria:

• Patients with suspected or known allergies to titanium, stainless steel, nickel, or ferrous materials.
• Known circumstances that would make it unlikely for the patient to complete follow-up through 60 months.

Patients diagnosed with Gastroesophageal Reflux Disease (GERD) as defined by abnormal pH testing, and who continue to have chronic GERD symptoms despite maximum medical therapy for the treatment of reflux