This video demonstrates a laparoscopic hiatus hernia repair for gastro-oesophageal reflux disease. This operation helps to treat symptoms like heartburn and regurgitation as a potential alternative to proton pump inhibitors. A Nissen technique is demonstrated, with a Toupet procedure briefly being mentioned. This is one of the more commonly performed gastrointestinal procedures being performed by laparoscopic surgeons. A video on revisional hiatus hernia surgery will be published in the future. This is regarded as an advanced laparoscopic operation. A gastroscopy is one of the essential investigations in diagnosing GORD.