Gastroesophageal reflux disease (GERD) is a functional disorder that occurs when refluxed gastric contents produce symptoms or tissue damage. Indications for an antireflux procedure such as laparoscopic Nissen fundoplication in a child are: failure of medical therapy for GERD, dependence on aggressive or prolonged medical therapy, or high risk to develop GERD following placement of a feeding gastrostomy for nutritional support. In 1991, Dallemagne et al. reported laparoscopic Nissen fundoplication in adults. In 1993, Georgeson and Lobe et al. separately reported laparoscopic Nissen fundoplication in children. Since then laparoscopic antireflux surgery has shown benefits to patients in reduced hospital stay and improved cosmesis, while being highly effective and performed with low morbidity and mortality (Sydorak and Albanese 2002). Although many other techniques are available for the surgical treatment of pathologic reflux in children, laparoscopic Nissen fundoplication remains the standard for correction of GERD.