Background: Aim of this study to demonstrate the effectiveness of laparoscopic hiatal hernia repair, strategy for treatment, operative technique and literature review. Methods: Between the years 2015- 2020, fifty one patients underwent elective uneventfully laparoscopic diaphragmatic hernia repair by surgical team from University general surgery clinic at Oncological Hospital of Kifisia –Agioi Anargyroi, Athens Greece. Results: During the last 5 years 51 patients already diagnosed with diaphragmatic hiatal hernia underwent elective laparoscopic repair uneventfully. Twenty one male and thirty female aged 19 – 68 mean age 44 years. The hospital stay was min 2 max 5 days mean stay aprox 3 days. All patients underwent gastrografin shallow. No death has been recorded. No ileus no volvulus was noticed. Three patients developed Dysphagia but post a week was disappeared. One male patient developed haematoma but this was cured within a two week period. All these patients as a follow up patients no complication or discomfort noticed. Conclusion: Laparoscopic diaphragmatic hiatal hernia repair considered safe, low cost and hospital stay with no complications, but needs to be done by well trained and experience team.