Limitations of existing pH recording methodology have been the impetus for the emergence of new technologies focused on improving ambulatory pH monitoring. The Bravo pH capsule system (Bravo, Medtronic, Shoreview, MN) is one of the recent advances that utilize a wireless system to improve patient compliance and extend the period of monitoring. These changes could potentially improve diagnostic accuracy along with patient acceptance. Given this fact, the following review will evaluate the potential benefits that wireless pH monitoring may have over conventional catheter based pH monitoring based on the available data. In addition, we will also focus on the technical aspects related to its safety, tolerability and diagnostic accuracy.