Esophageal hiatal hernia is a common digestive system disease, which is always complicated with gastroesophageal reflux. The incidence of hiatal hernia is increasing in recent years. Esophageal symptoms and extra-esophageal symptoms caused by esophageal hiatal hernia seriously affect the physical and mental health of patients. Due to the limitations of medical treatment, surgical treatment for hiatal hernia is increasingly concerned by surgeons. The purpose of surgery of hiatal hernia is to repair the defect, as well as recover function of lower esophagus through fundoplication to achieve the effect of anti-reflux. Laparoscopic technique is the preferred choice for the treatment of hiatal hernia because of its advantages of safety, efficiency and convenience. In this article, we summarized and shared the experience of laparoscopic hernia repair combined with Nissen fundoplication for the treatment of esophageal hiatal hernia in our hospital in recent years.