Esophageal hiatal hernia needs to be treated, either with medication or surgery, depending on the condition. Esophageal hiatal hernia may cause symptoms such as acid reflux, choking, and even aspiration pneumonia, which need to be treated, otherwise it may endanger the patient’s life. Mild esophageal hiatal hernia can be treated by medication, clinical general application of gastric mucosal protective agents, such as aluminum thioglycollate, sodium bicarbonate, etc., combined with acid inhibitors, such as lansoprazole, rabeprazole, etc. to inhibit gastric acid secretion in combination with the application of domperidone to promote timely gastric emptying and reduce reflux. More serious esophageal hiatal hernia, such as the occurrence of choking, aspiration pneumonia, etc., then need to do laparoscopic esophageal hiatal hernia repair treatment. Patients with esophageal hiatal hernia are advised to seek prompt medical attention and follow the doctor’s instructions.