If the hiatal hernia is relatively small and the symptoms are not severe or accompanied by other symptoms, it can be treated conservatively. If the hiatal hernia is large and accompanied by other related symptoms, surgery is the treatment of choice. When the hiatal hernia is small or without symptoms, conservative treatment is usually adopted, and commonly used drugs include: omeprazole, aluminum thioglycollate, domperidone and so on. When the hiatal hernia is large enough to cause obstruction or gastric torsion, surgery is required. Laparoscopic hiatal hernia repair is often performed. The prognosis of surgery is good and can significantly improve the quality of life of patients with esophageal hiatal hernia. When a patient is diagnosed with esophageal hiatal hernia, he or she should seek medical attention in a timely manner, ask the specialist about his or her individual disease, follow the doctor’s instructions for choosing the treatment, and standardize the treatment.