Abstract: AIM: To investigate the clinical value of laparoscopic repair of paraesophageal hernia using a patch. METHODS: Three patients underwent the procedure during July 2007 to May 2008. We analyzed their operation time, blood loss and the complications as well as follow up. RESULTS: Operations were successful with no conversion to open surgery. The operation time was 155, 120 and 130 min; the blood loss was 50, 50 and 70 mL. Every patient regained bowel activities and resumed fluid diet the day after the procedure, then was discharged after 7 d. Clinical symptoms of 3 patients disappeared within 3 mo and follow ups (6-12 mo) showed no relapse. CONCLUSION: Laparoscopic repair of paraesophageal hernia with patch application is a safe and effective procedure.