We report the case of a massive paraesophageal hiatal hernia with gast
ric volvulus which presented with the symptom of a precordial sense of
pressure for over two years, which was successfully treated with lapa
roscopic surgery. The patient is presently in good condition, without
any recurrence of either the hiatal hernia or other symptoms one year
after surgery. This approach is considered to be a safe and effective
procedure, and it also provides for rapid recovery from the operation.