Gastroesophageal reflux disease commonly affects the pediatric and adolescent population. Neurologically challenged patients form a sizeable group of patients undergoing anti-reflux procedures. The chapter explains the procedure of laparoscopic Thal fundoplication and outlines the operation room setup, positioning of the patient, special instruments required for the procedure and the port placement sites. The indications, contraindications, preoperative considerations and technical considerations for laparoscopic Thal fundoplication have also been listed. Possible procedural variations have been outlined. The surgical procedure has been explained using sequential high quality images.
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