There is no best treatment for esophageal hiatal hernia, as long as it is suitable for the patient’s method is good, usually choose drugs, surgery and other methods of treatment. 1. Drug treatment, when the patient has heartburn, dysphagia, chest pain, epigastric pain, nausea, vomiting and other symptoms, it is recommended to promptly use drugs to promote gastric dynamics, such as: domperidone, mosapride, etc., mainly to reduce the pressure of the esophagus and the stomach connection part, at the same time, to promote gastric emptying, to reduce the gastric contents of reflux. In addition, acid suppressants, such as omeprazole and pantoprazole, are also needed to relieve symptoms and prevent complications. 2. Surgical treatment, after drug treatment, symptoms are not relieved or recurring, surgical treatment can be considered, the specific surgical methods need to be fully evaluated according to the patient’s age, physical fitness and the severity of the disease, etc., and then choose. For hiatal hernia without any uncomfortable symptoms, no treatment is needed. The specific treatment for hiatal hernia should be formulated after the doctor’s visit, based on the relevant items of examination, the patient’s own condition, etc., and the medication should be used in accordance with the doctor’s instructions.