Laparoscopic repair of giant hiatus hernia and antireflux surgery with a prosthetic mesh in cases of giant hiatal hernia is an effective and safe procedure, reducing the rate of postoperative hernia recurrence during long-term follow-up. The incidence of mesh-related complications is very low. he use of mesh in the repair of large hiatal hernias is promising with respect to the reduction of anatomical recurrences. However, many different kinds and configurations of mesh are available. The use of mesh is becoming more popular for large hiatal hernia (type II-IV) repair to reduce the recurrence rate