Hiatal hernia (HH) is a common condition characterized by the abnormal displacement of the stomach into the thoracic cavity. While laparoscopic repair has been the standard approach, robotic surgery offers several advantages, including enhanced visualization, precision, and dexterity. This chapter provides a detailed description of the surgical technique for robotic paraoesophageal hernia repair (Type II, II and IV). The careful dissection of the herniated stomach and surrounding structures allows for a precise repair of these defects. By following the steps described in this chapter, robotic paraoesophageal repair can be safely and effectively performed, leading to improved patient outcomes and reduced postoperative complications.