This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Esophagus, Subject name: Surgery
A 35 years old lady presented with retrosternal burning pain, epigastric pain and regurgitation for 6 years. The most preferred treatment option is: 
Select and explain. 
A. Lifestyle modification, B. Double dose of PPI, C. Laparoscopic Nissen's fundoplication, D. Dietary modification
C: Laparoscopic Nissen's fundoplication
Answer: C: Laparoscopic Nissen's fundoplication 
Explanation: Retrosternal Burning pain Epigastric pain Regurgitation TRIAD - GERD Dx- 24 hrs pH monitoring DEMEESTER'S Score (< 14.7 Normal) GERD > 14.7 Sx Mx - Life expectancy > 10 years |Laparoscopic Nissen's fundoplication (Gold standard treatment of GERD) other t/t options- Lifestyle modifications: Cessation of smoking Decrease caffeine intake Avoid large meals just before lying down Drugs for symptomatic improvement - Double dose of proton pump inhibitor