Hiatal hernia (gastric hernia) can be seen in various types. Surgical treatment is considered especially in patients with large hernias, whose complaints do not improve despite drug treatment, who develop allergies or complications due to drug treatment, who have persistent asthma due to reflux, and who have respiratory problems due to lung compression. Patients may have complaints such as chest pain and burning, bitter-sour water in the mouth, pain in the middle of the shoulder blades, difficulty swallowing, shortness of breath, bad breath, and excessive belching due to swallowing air. Although the probability of occurrence is low, the final effect of persistent, long-term reflux is Barret Esophagus.