When I had Cava in for her spay I had them do a gastropexy, and also hip and elbow x-rays. The surgery was laparoscopic. It cost quite a bit more and I had to wait longer to get her scheduled than if we'd gone the traditional route but I liked the idea of a shorter recovery with smaller incisions. I went to a much larger practice than my usual vet at the time because they had more experience and did all the procedures often so I trusted them to get it right.
In over 35 years of owning GSDs we've just had one bloat experience. Fortunately I realized right away what was going on and we live less than 5 miles from an emergency vet so we were able to get in him in fast enough to save his life. Of course, it happened on a Sunday evening. The on-call surgeon and team got there quickly and had him on the table not long after they confirmed GDV. About 3-1/2 hours after we'd walked in the door with him the surgeon called to let us know it had gone well. It was a couple of days before Keefer's 12th birthday, and he lived another year and 8 months, so it was worth it, but I decided that any future dogs would get a preventive 'pexy.