The basic procedure for treating gastroesophageal hiatal hernia is laparoscopic gastroesophageal hiatal hernia repair. The main disadvantages include anesthesia risk, intraoperative risk, and postoperative risk. 1. Anesthesia risk: patients with this disease are mainly elderly and in poor physical condition, which may lead to anesthesia intolerance and hemodynamic instability. 2. Intraoperative risk: Since it is operated under laparoscopy, the surgical field of view has certain limitations, and acidosis may occur due to excessive carbon dioxide during the process of establishing pneumoperitoneum. There is a risk of injury to blood vessels and nerves during the operation. 3. Postoperative risk: most of this procedure requires patch repair, and the patch, as a foreign body, has the risk of secondary infection and poor healing of the operative area. Gastroesophageal hiatal hernia is mainly treated by surgery, the effect is accurate, but the risk also exists at the same time, it is recommended to fully communicate with the doctor in charge, weighing the pros and cons.