Laparoscopic treatment of hiatal hernia technique has the advantages of less trauma, faster recovery, positive anti-reflux effect, less complications and easy acceptance by patients. Laparoscopic treatment of reflux esophagitis (GERD) has been widely carried out in foreign countries, and rich clinical experience has been accumulated. A short-loose Nissen procedure is performed using laparoscopy. Our technique is as follows: After successful general anesthesia, the patient is placed in the supine position with the head on the right side, chest and upper abdomen padded, head high and feet low by 15°, and both lower extremities abducted by 15° respectively. The surgical area was routinely disinfected and toweled. The abdominal suspension hook was placed on the upper abdomen. After transumbilical puncture, CO2 pneumoperitoneum was built, and the pneumoperitoneum pressure was 12-14 mmHg, Trocar was placed, laparoscope was placed, and the abdominal cavity was explored for no obvious adhesions, no peritoneal fluid, and no tumor growth; 10 mm (left main operation hole) and 5 mm (right) Trocar were placed from the umbilicus to the midpoint of the rib arch on both sides, respectively; liver pull hooks were placed in the left side of the abdominal white line and 2 cm ventral to the glabellar process through the puncture hole, and in A 5mm Trocar was placed at the level of the flat umbilicus and under the left costal arch. 6 cm to create a posterior esophageal gap. The diaphragmatic foot on both sides is interrupted with 2 stitches of 7# silk suture to narrow the esophageal fissure to accommodate a 5mm meter instrument passing through the fissure via the esophageal side. The fundus is pulled posteriorly through the esophagus to the anterior esophagus and sutured to the gastric wall on the left side of the esophagus with 3 interrupted stitches of 4# silk (the uppermost first stitch is sutured to the anterior edge of the fissure) with a stitch width of approximately 1. 0 cm to form a loose 360° fundus fold that wraps tension-free around the entire circumference of the lower esophagus.