The results of hiatoraphy with fundoplication are good, symptoms of reflux disease and hernia are reliably eliminated. Recurrence is a common cause of recurrent reflux symptoms. Recurrence surgery exposes patients to an increased risk of mortality. The aim of hiatal reconstruction remains permanent closure without side effects. Mesh reinforcement as part of hiatus repair is controversial in the literature. More recent studies relativize previously proven advantages. Conversely, meta-analyses show that mesh complications are rare. The informative value of comparative studies prior to the robotic era with regard to mesh reinforcement must be reassessed. In line with our experience, the literature shows that correct technique and graft selection limit concerns about mesh. We cannot recommend mesh reinforcement as an obligatory part of the procedure based on the literature, but we have validated good results with mesh.