From the analysis of surgical treatment results in 144 patients with hiatal hernia, it is concluded that differential approach in the choice of plasty method is necessary. It is determined by hernia's type, anatomical features of esophageal hiatus, concomitant diseases and patient's age. The authors show a preference for incomplete fundoplications methods from transabdominal approach (by Dor, Toupet and by method developed by the authors).