Patients with mesoaxial volvulus of the stomach often present with dysphagia and reflux. For this laparoscopic operation, we use a 5-trocar technique. The stomach is grasped and brought back into the greater peritoneal cavity. The gastrohepatic omentum is opened in a stellate fashion. The dissection is carried to the right crus and into the mediastinum to reduce the hiatal hernia. Esophagus is delivered into the peritoneal cavity. The stomach is rolled to the right, short gastric vessels are taken down, and the dissection is carried into the mediastinum. Circumferentially, the hiatus is freed. The hernia sac is excised. The hiatus is reconstructed. Once the hiatus is snug about the esophagus, the Nissen fundoplication is constructed with three sutures, bringing anterior fundus to esophagus to posterior fundus with a 54 French bougie per os in the stomach. The posterior fundus and esophagus are tacked to the right crus so there will be no tension causing the posterior fundus or esophagus to twist, which might cause dysphagia. This approach relieves dysphagia and reflux, and satisfaction is achieved in over 92%. This technique is safe and effective in correcting gastric volvulus, dysphagia, and reflux.