The 80-year-old Mrs. Yang had repeated anterior heart discomfort, chest pain, cough, and poor circulation. The doctor considered that she might have coronary heart disease, and she was repeatedly hospitalized in the cardiology department of the local hospital for six months, but her condition never improved and her weight plummeted by 20 kg. Director Yin Ningwei and attending physician Gao Lei asked the old lady about her onset and treatment in detail, considered the possibility of her esophageal hiatal hernia, and arranged gastroscopy and upper gastrointestinal tract imaging, and finally figured out the problem that had plagued Yang for half a year, which was esophageal hiatal hernia. In order to adapt to the surgery as soon as possible, Director Yin Ningwei and attending physician Gao Lei carefully implemented nutritional support treatment for her, which rapidly improved her physical condition. After thorough preoperative preparation, laparoscopic esophageal hiatus hernia repair and fundoplication were performed smoothly for the old lady, who soon recovered from her “heart disease” and had no more problems with eating. Esophageal hiatal hernia is a hernia formed when part or all of the stomach enters the thoracic cavity continuously or repeatedly through the esophageal hiatus. Therefore, when patients have symptoms such as chest pain and chest tightness, they must be alert to the possibility of esophageal hiatal hernia after excluding heart disease. Smaller hiatal hernias can be treated with medication to improve symptoms, while large hernias must be treated surgically to cure them. The traditional surgical method of trans-thoracic esophageal hiatal repair and fundoplication is very traumatic and risky. Gastrointestinal vascular hernia surgery uses laparoscopic esophageal hiatal repair and fundoplication, which only requires a few small holes in the stomach to completely solve the problem, with light postoperative pain, fast recovery and satisfactory results. Prevention of factors that increase abdominal pressure for a long time, such as ascites, chronic cough and habitual constipation, can effectively reduce the occurrence of esophageal hiatal hernia.