The transabdominal Heller myotomy associated with the Dor anterior hemifundoplication is considered an effective surgical procedure for esophageal achalasia. Twelve patients underwent the laparoscopic version of this technique with no morbidity and mortality, and with good short-term (8 month average) results. Relevant steps of the technique are the division of the "U" fibers of the gastric lesser curvature to abolish the LES and the calibration of the Dor with intraoperative manometry. A proper Heller-Dor procedure is feasible via laparoscopy. Intraoperative manometry is very helpful to perform this technique which should be still considered experimental.