Background: With ever greater numbers of fundoplications being undertaken, increasing numbers of fundoplications will fail and increasing numbers of patients will be considered for “redo” fundoplications. This study was undertaken to determine long-term outcomes after “redo” fundoplications. Methods: From 1992 to 2005, 92 patients underwent “redo” fundoplications and were prospectively followed. The failed fundoplications had been undertaken laparoscopically in 59% and by celiotomy in 42%. Reflux and dysphagia before and after “redo” fundoplication were scored utilizing a Likert scale (0=none/never, 10=severe/always). Results: Patients were primarily troubled by dysphagia in 17%, recurrent reflux in 52%, or both in 26% before “redo fundoplication; median DeMeester score was 43. Causes of failure prior to “redo” fundoplication included hiatal failure in 30%, wrap failure in 15%, both in 38%, and slipped Nissen fundoplication in 20%. “Redo” fundoplication was not attempted laparoscopically in 17% because of extensive previous abdominal operations. Laparoscopic “redo” fundoplication was successfully completed in 91% for whom it was attempted; most frequent inadvertent events included gastrotomy in 19%, CO₂ pneumothorax in 12%, and esophagotomy in 3%, without notable consequences. After reoperation, dysphagia scores improved from 4.6 ± 4.5 to 2.5 ±3.1 (p =0.0005) and reflux scores improved from 7.7 ± 3.3 to 1.4 ± 2.5 (p< 0.0001) (paired Student t-test). Excellent or good outcomes after “redo” fundoplications were reported by 80% of patients with reflux, 100% of the patients with dysphagia, and 71% with both. Conclusions: “Redo” fundoplications are technically challenging, especially laparoscopically, with relatively frequent, though inconsequential, inadvertent intraoperative events. “Redo” fundoplications, if undertaken laparoscopically, are likely to be completed laparoscopically. “Redo” fundoplications relieve symptoms of reflux and dysphagia with high rates of patient satisfaction and their application is supported.