The patient was a 46-year-old woman who had been diagnosed with pancreatic achalasia for more than 20 years, and had been eating only a liquid diet every day and had lost a lot of weight. She underwent thoracoscopic cardia-esophageal myotomy at our hospital, and recovered well after the operation, and her difficulty in eating was relieved. TV thoracoscopic surgery for pancreatic achalasia is less invasive, quicker recovery, and effective.