“…5 With paraoesophageal HH the function of the LOS tends to be normal and clinical signs are associated with gastric herniation. Surgical treatment of paraoesophageal hernias is aimed at maintaining reduction of the hernia and closing the hernial opening, 5,37 whereas surgical treatments of sliding and mixed HH should, in addition, aim to restore normal LOS function. 6 Surgical techniques used to achieve these goals include hiatal closure, gastropexy, oesophagopexy, antireflux procedures, feeding tubes and combinations of the above.…”