Since its description in 1956, Nissen 360° fundoplication has become the surgical treatment of choice for reflux oesophagitis. It is therefore not surprising that the Nissen fundoplication has been adopted by laparoscopic surgeons as the preferred method to deal with reflux oesophagitis via the laparoscopic route. Several large series containing over 100 patients who have undergone this procedure have now been published. The transfer of Nissen fundoplication from open to laparoscopic surgery has raised several areas of controversy. There are differing approaches to patient selection, operative procedure and post-operative care. As regards the operative technique itself, there has been a debate about the best patient position, the best way of providing access to the hiatus, the need for crural repair and for fundal mobilisation by division of short gastric vessels. Whilst recognising the differing approaches to laparoscopic fundoplication, we aim to present our own method of performing the operation with an explanation as to why we have elected to adopt certain techniques in this relatively new area of surgery