ARMS is an endoscopic procedure used to manage acid reflux by modifying the tissue at the junction of the stomach and esophagus. It aims to improve the barrier that prevents stomach acid from moving upward. The procedure is performed without external incisions. Careful assessment is required before treatment. It is often considered for patients with persistent reflux symptoms. Recovery is usually quick with minimal discomfort. Patients may need to follow dietary guidelines after the procedure. Regular follow-up helps monitor effectiveness. The results may improve symptoms over time. ARMS provides a minimally invasive approach to reflux management.