Reflux esophagitis is the inflammatory erosion ulceration and fibrosis of the esophageal mucosa caused by the reflux of gastric and/or duodenal contents into the esophagus and other lesions belonging to gastroesophageal reflux disease GERD is closely related to esophageal hiatal hernia. The clinical signs of GERD are burning sensation or pain behind the sternum and gastroesophageal reflux, acidic fluid or food reflux from the gastroesophagus to the pharynx or mouth at night when sleeping in bed, and possible dysphagia and bleeding. Prolonged reflux esophagitis can cause Barrett’s esophagus (precancerous lesions) and short esophagus, which require attention and proper treatment. Reflux esophagitis is usually treated medically, such as with a combination of medications to promote esophageal gastric emptying and acidophilus medications, but patients with long-term medication control or with esophageal hiatal hernia should be treated surgically to completely repair the anatomical and physiological anti-reflux barrier at the gastroesophageal junction to achieve complete treatment of reflux esophagitis. Open-chest and open-abdomen treatments are reliable, but they may cause some damage to the body and slow recovery, which is difficult for more patients to accept. In the past ten years, the general surgery department of PLA General Hospital under the leadership of Director Li Rong has successfully carried out minimally invasive surgery for gastrointestinal tumors under laparoscopy, minimally invasive repair of difficult hernias such as various incisional hernias and stoma hernias, cosmetic excision of thyroid tumors and minimally invasive birth treatment for reflux esophagitis and hiatal hernia, which has the advantages of small trauma, fast recovery and good results, and has been well received by patients and won the second prize of the army medical achievements. In order to better carry out minimally invasive treatment of general surgery diseases, especially early gastrointestinal tumors, various incisional hernias, stoma hernias and other difficult hernias and laparoscopic fundoplication for reflux esophagitis and hiatal hernia, the general surgery department of PLA General Hospital has established a minimally invasive laparoscopic ward and a green channel for minimally invasive laparoscopic treatment. Reflux esophagitis can be completely treated through a few small keyhole surgeries.