Methods: A 64 year old female patient presented with symptoms of regurgitation and dysphagia in the setting of a large epiphrenic esophageal diverticulum (EED). Her preoperative work up included EGD, upper GI and manometry. Previous endoscopic pneumatic dilations and stents failed to alleviate her symptoms. A laparoscopic diverticulectomy and a Heller-Toupet esophagomyotomy were performed successfully without complications. ResultsA standard 5 trocar laparoscopic approach was utilized. The posterolateral diverticulum was resected and the muscle oversawn over a bougie. A Heller myotomy and Toupet posterior fundoplication was done. The patient had no intraoperative or postoperative complications. She was discharged on postoperative day 1. She remains symptoms free at 4 months.