Laparoscopic fundoplication requires a solid laparoscopic technique and a profound understanding of the anatomy, pathology and pathophysiology of the lower esophagus, and the following points need to be noted intraoperatively: the extent of fundoplication: is it necessary to dissociate the short gastric vessels? In fact, whether to free or not depends on the morphology of the fundus and the way of folding, as long as the tension of the folded stomach is not excessive, if the tension of the folded stomach is too high, the short gastric vessels need to be free.