$re = '/\(([^)(]*)\)(?=[^)(]*(?:\([^)(]*\)[^)(]*)*\))/m';
$str = 'Record ID
What is the best food? (choice=Nachos)
What is the best food? (choice=Tacos (big bent nachos))
What is the best food? (choice=Chips with stuff)
Complete?
So ((this) one (has) (many) (inside)) (none here) (but (here) and (here))
';
$subst = "$1";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php