Hiatal hernia (HH) involves the displacement of abdominal organs through the esophageal hiatus to above the diaphragm into the thoracic cavity. The overall prevalence of HH varies between 10-80% and increases with age, higher intrabdominal pressure (ex: obesity), genetic predisposition, congenital defect, and trauma. Sliding HH results in acid and non-acid reflux. Chronic exposure of the esophagus to refluxate can results in dysphagia, difficulty swallowing, due to impaired esophageal motility.