For many years Nissen fundoplication has been the standard for surgical correction of gastroesophageal reflux. Fundoplication now can be performed laparoscopically as well. Advantages to the laparoscopic approach may include decreased complications, such as adhesive bowel obstruction, wound complications, and postoperative pulmonary complications. Moreover, there appears to be a shorter hospitalization time and an earlier return to enteral alimentation and unrestricted activities.