Introduction: Laparoscopic Proximal Gastrectomy (LPG) is not a popular surgical option for GE junction tumors due to oncological safety, and poor reported functional outcomes. Recently, there has been an increasing interest for Vagus-Preserving Proximal Gastrecotmy for early gastric cancer due to the low chance of lymph node metastasis. This is considered as superior choice in terms of post-operative functional outcomes and gastric volume. Utilizing this approach for GEJ Gastrointestinal Stromal tumor is tempting provided the very low chance of lymph node metastasis Methods: 66 yo female patient presented with hematemesis. Upper GI endoscopy showed large necrotic mass at the GE junction. biopsy showed GIST tumor. The CT scan showed locally advanced posterior mass reaching the left diaphragm and the spleen. Patient received neoadjuvant Imatinib for 6 months with good response. Patient refused the idea of total gastrectomy and for this reason she underwent vagal preserving laparoscopic proximal gastrecotmy enbloc with splenectomy. Results: Surgery was carried successfully in terms of oncological resection and maintaining gastric function. Patient reported minimal heartburn controlled with PPI 3 months after her surgery, and was able to maintain her weight in this period. Conclusion: Vagal preserving LPG should be considered GEJ GIST to minimize the extent of gastrectomy and preserve the function of stomach.