In this conversation, Dr. Roy Hopkins, an upper GI surgeon, discusses the complexities of reflux, particularly in relation to weight loss surgery. He explains the causes, symptoms, and diagnostic procedures for reflux, emphasizing the importance of understanding the anatomical and structural factors involved. The discussion also covers the differences between gastric sleeve and bypass surgeries, the challenges of silent reflux, and the significance of patient-surgeon communication in treatment decisions. Dr. Hopkins highlights the need for patients to be proactive in their health and to seek help when experiencing symptoms.