This video demonstrate Laparoscopic cardiomyotomy is the treatment of choice for patients with achalasia of the esophagus. Several different techniques and modifications have been reported concerning the approach (thoracoscopic or laparoscopic), type and length of the myotomy, with or without fundoplication, type of fundoplication. we report our simplified technique for anterior cardiomyotomy with Dor fundoplication and the results obtained using this procedure.