Hiatal hernia (hiatal hernia, HH) is a common disease that affects up to 60% of the adult population. Old age and overweight are the main risk factors for HH. In recent years, as the number of overweight people has increased and the phenomenon of aging has become more and more prominent, the prevention and treatment of HH has become crucial. Laparoscopic HH repair is the main way to treat symptomatic HH. However, traditional laparoscopic techniques have the disadvantages of limited field of view, limited movement of instruments, 2-dimensional view, slow learning curve for surgeons and so on. In recent years, the use of robotic surgery platforms in HH repair has increased because it can overcome some of the technical limitations associated with traditional laparoscopic surgery. Robot-assisted laparoscopic HH repair has the following potential advantages: it can reduce the need to switch to open surgery; it can shorten the patient's hospital stay; it has lower postoperative complications;It has advantages in fine anatomy and suture;and The initial learning curve appears relatively short for experienced minimally invasive esophageal surgeon. In addition, robot assistance may be beneficial for Redo hiatal hernia and antireflux surgery, and is expected to become the first choice for recurrent HH. This article reviews the clinical application and progress of robot-assisted laparoscopic hiatal hernia repair.