Hiatal hernia (HH) is a common disease in clinical practice, and is associated with high abdominal pressure, relatively shortened esophagus and weaken support tissue around the hiatus. Hiatal hernia can cause gastroesophageal reflux, abnormal swallow and ex-esophageal symptoms, which severely threaten patients’ health and longevity. With the development of diagnostic and treatment technologies, surgical repair of HH has been increasingly carried out in hospitals of different levels in China. However, the occurrence of complications after HH repair is continuously rising, due to limitations in understanding of the anatomy and pathophysiology of the disease and lack of surgical training. For standardizing the procedures of laparoscopic HH repair, homogenizing the skills of laparoscopic HH repair and decreasing postoperative complications, the authors based on the guidelines and personal experiences, propose a seven-step procedure for laparoscopic HH repair, which can be easily learned and generalized.